Provider Demographics
NPI:1770201253
Name:PANAPAKIDES, ANNA VASILIKI
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:VASILIKI
Last Name:PANAPAKIDES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 NW 8TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2381
Mailing Address - Country:US
Mailing Address - Phone:914-806-2493
Mailing Address - Fax:
Practice Address - Street 1:70 W BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4016
Practice Address - Country:US
Practice Address - Phone:718-716-4400
Practice Address - Fax:718-924-2678
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009648152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist