Healthcare Provider Details

I. General information

NPI: 1427713411
Provider Name (Legal Business Name): VASSILIKI KONSTANTINA ZAPSAS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15050 14TH RD
WHITESTONE NY
11357-2609
US

IV. Provider business mailing address

1318 130TH ST
COLLEGE POINT NY
11356-1917
US

V. Phone/Fax

Practice location:
  • Phone: 718-767-0071
  • Fax: 718-767-0086
Mailing address:
  • Phone: 718-539-5530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number026141
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: