Provider Demographics
NPI:1972937605
Name:PILIOS, ATHANASIA
Entity Type:Individual
Prefix:
First Name:ATHANASIA
Middle Name:
Last Name:PILIOS
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 1:3130 30TH ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2807
Mailing Address - Country:US
Mailing Address - Phone:347-853-2760
Mailing Address - Fax:
Practice Address - Street 1:3130 30TH ST
Practice Address - Street 2:APT 2A
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-2864
Practice Address - Country:US
Practice Address - Phone:347-853-2760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist