Provider Demographics
NPI:1689313975
Name:TSOUMPARIOTIS, ANGELIKI NICOLETTA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELIKI
Middle Name:NICOLETTA
Last Name:TSOUMPARIOTIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PIPER DR
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1517
Mailing Address - Country:US
Mailing Address - Phone:516-581-3686
Mailing Address - Fax:
Practice Address - Street 1:10205 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2006
Practice Address - Country:US
Practice Address - Phone:718-441-4693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist