Provider Demographics
NPI:1871846402
Name:ELEFTERIOU, ELENA (RPA-C)
Entity Type:Individual
Prefix:MISS
First Name:ELENA
Middle Name:
Last Name:ELEFTERIOU
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8836 20TH AVE
Mailing Address - Street 2:UPSTAIRS
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-7304
Mailing Address - Country:US
Mailing Address - Phone:347-774-6996
Mailing Address - Fax:
Practice Address - Street 1:1 N PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3415
Practice Address - Country:US
Practice Address - Phone:347-774-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106881363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical