Provider Demographics
NPI:1639981327
Name:TIMOTHEATOU, MARIA (SPECIAL EDUCATION)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:TIMOTHEATOU
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16028 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1905
Mailing Address - Country:US
Mailing Address - Phone:631-748-4884
Mailing Address - Fax:
Practice Address - Street 1:421 HUGUENOT ST STE 12
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7021
Practice Address - Country:US
Practice Address - Phone:914-339-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1873144251174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist