Provider Demographics
NPI:1972748069
Name:TZEREMAS, CHRISTINA KIRIAKI (MA/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KIRIAKI
Last Name:TZEREMAS
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:K
Other - Last Name:GASPARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3563 E CABRILLO CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297
Mailing Address - Country:US
Mailing Address - Phone:917-572-9559
Mailing Address - Fax:
Practice Address - Street 1:5645 207TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-1728
Practice Address - Country:US
Practice Address - Phone:718-631-0078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015300-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist