Provider Demographics
NPI:1700923356
Name:MIHELAKIS-SAMARAS, MARIA (MS, CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:MIHELAKIS-SAMARAS
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 1:3149 33RD ST
Mailing Address - Street 2:APT. # 2R
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2029
Mailing Address - Country:US
Mailing Address - Phone:718-545-4917
Mailing Address - Fax:
Practice Address - Street 1:20 PLAZA WEST CEDARWOOD HALL
Practice Address - Street 2:WESTCHESTER INSTITUTE SPEECH AND HEARING
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1681
Practice Address - Country:US
Practice Address - Phone:914-493-5186
Practice Address - Fax:914-493-7969
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016953-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist