Provider Demographics
NPI:1972869246
Name:ALMIROUDIS, SOFIA Z (SLP, TSHH, MSED)
Entity Type:Individual
Prefix:MRS
First Name:SOFIA
Middle Name:Z
Last Name:ALMIROUDIS
Suffix:
Gender:F
Credentials:SLP, TSHH, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 HIDDEN POND PATH
Mailing Address - Street 2:
Mailing Address - City:WADING RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11792
Mailing Address - Country:US
Mailing Address - Phone:631-929-4193
Mailing Address - Fax:
Practice Address - Street 1:134 HIDDEN POND PATH
Practice Address - Street 2:
Practice Address - City:WADING RIVER
Practice Address - State:NY
Practice Address - Zip Code:11792-2185
Practice Address - Country:US
Practice Address - Phone:631-929-4193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014391-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist