Provider Demographics
NPI:1255199634
Name:PANAPAKIDES, PANAGIOTA
Entity type:Individual
Prefix:
First Name:PANAGIOTA
Middle Name:
Last Name:PANAPAKIDES
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 1:81 WALLACE ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3068
Mailing Address - Country:US
Mailing Address - Phone:914-373-8173
Mailing Address - Fax:
Practice Address - Street 1:261 E 163RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3214
Practice Address - Country:US
Practice Address - Phone:718-681-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034094235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist