Provider Demographics
NPI:1710474598
Name:MARIA ALIKAKOS PRACTICE, PLLC
Entity Type:Organization
Organization Name:MARIA ALIKAKOS PRACTICE, PLLC
Other - Org Name:MARIA ALIKAKOS PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALIKAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-751-7210
Mailing Address - Street 1:380 LEXINGTON AVE # 1702
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10168-0002
Mailing Address - Country:US
Mailing Address - Phone:917-751-7210
Mailing Address - Fax:
Practice Address - Street 1:380 LEXINGTON AVE # 1702
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10168-0002
Practice Address - Country:US
Practice Address - Phone:917-751-7210
Practice Address - Fax:866-282-3409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty