Provider Demographics
NPI:1689938698
Name:GEROLIMATOS, ATHINA (MSED)
Entity Type:Individual
Prefix:MISS
First Name:ATHINA
Middle Name:
Last Name:GEROLIMATOS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408C CLINTONVILLE ST
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1862
Mailing Address - Country:US
Mailing Address - Phone:516-780-0770
Mailing Address - Fax:718-764-1238
Practice Address - Street 1:1408C CLINTONVILLE ST
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1862
Practice Address - Country:US
Practice Address - Phone:516-780-0770
Practice Address - Fax:718-764-1238
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY579266051OtherTEACHER'S CERTIFICATION