Provider Demographics
NPI:1629744644
Name:HADJICONSTANTINOU, ELENI (MS)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:HADJICONSTANTINOU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 BELL BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3332
Mailing Address - Country:US
Mailing Address - Phone:646-641-9163
Mailing Address - Fax:
Practice Address - Street 1:4640 BELL BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3332
Practice Address - Country:US
Practice Address - Phone:646-641-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist