Provider Demographics
NPI:1740671098
Name:PANAYI, PETER PHILIPPOU (DNP, NP-BC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:PHILIPPOU
Last Name:PANAYI
Suffix:
Gender:M
Credentials:DNP, NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-8075
Mailing Address - Fax:212-305-9730
Practice Address - Street 1:622 W 168TH ST DEPT OF
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-8075
Practice Address - Fax:212-305-9730
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402141363LP0808X
NJ26NR15810600163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health