Provider Demographics
NPI:1952582553
Name:DANAS, EFSTATHIA JOANNE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:EFSTATHIA
Middle Name:JOANNE
Last Name:DANAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 MEAGAN LOOP
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-1164
Mailing Address - Country:US
Mailing Address - Phone:718-317-7238
Mailing Address - Fax:718-317-7238
Practice Address - Street 1:76 MEAGAN LOOP
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10307-1164
Practice Address - Country:US
Practice Address - Phone:718-317-7238
Practice Address - Fax:718-317-7238
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-25
Last Update Date:2007-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012104-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY012104-1OtherSTATE LICENSE