Provider Demographics
NPI:1336341833
Name:DIMITRAKIS, ERRIKA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERRIKA
Middle Name:
Last Name:DIMITRAKIS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 FRANCIS LEWIS BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1959
Mailing Address - Country:US
Mailing Address - Phone:718-939-0306
Mailing Address - Fax:718-939-0314
Practice Address - Street 1:3530 FRANCIS LEWIS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1959
Practice Address - Country:US
Practice Address - Phone:718-939-0306
Practice Address - Fax:718-939-0314
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010471235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist