Provider Demographics
NPI:1891487351
Name:ZARVOS, ELENI
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:ZARVOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 MADISON AVE STE 503-505
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1107
Mailing Address - Country:US
Mailing Address - Phone:917-246-4348
Mailing Address - Fax:
Practice Address - Street 1:420 MADISON AVE STE 503-505
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1107
Practice Address - Country:US
Practice Address - Phone:917-246-4348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist