Provider Demographics
NPI:1336401025
Name:STAMATIOU, CRISTY (MS ED)
Entity Type:Individual
Prefix:
First Name:CRISTY
Middle Name:
Last Name:STAMATIOU
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BRISTOL HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLENFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12433-5036
Mailing Address - Country:US
Mailing Address - Phone:914-388-5141
Mailing Address - Fax:
Practice Address - Street 1:2447 EASTCHESTER RD
Practice Address - Street 2:#2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5915
Practice Address - Country:US
Practice Address - Phone:718-882-2111
Practice Address - Fax:718-882-2166
Is Sole Proprietor?:No
Enumeration Date:2012-06-09
Last Update Date:2012-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist