1023178795 NPI number — DR. NEOPHYTOS L PAPANEOPHYTOU PHD, LMHC, LPC, NCC

Table of content: DR. NEOPHYTOS L PAPANEOPHYTOU PHD, LMHC, LPC, NCC (NPI 1023178795)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023178795 NPI number — DR. NEOPHYTOS L PAPANEOPHYTOU PHD, LMHC, LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAPANEOPHYTOU
Provider First Name:
NEOPHYTOS
Provider Middle Name:
L
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, LMHC, LPC, NCC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023178795
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1115 WILLOW AVE APT 512
Provider Second Line Business Mailing Address:
APT. 512
Provider Business Mailing Address City Name:
HOBOKEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07030-3262
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-239-1048
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6415 BAY PARKWAY
Provider Second Line Business Practice Location Address:
6415 BAY PARKWAY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-331-3800
Provider Business Practice Location Address Fax Number:
718-331-3387
Provider Enumeration Date:
12/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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