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General NPI Number Information
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NPI Number | 1801266705
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Entity Type | Individual
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Provider Name | NIKI IOANNOU
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Gender | Female
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 16012 CRYDERS LN
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City | WHITESTONE
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State | NY
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Zip | 11357-2740
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Country | US
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Telephone | 917-853-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BOULDER RD
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City | MANHASSET
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State | NY
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Zip | 11030-1632
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Country | US
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Telephone | 917-853-4475
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 491700-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 381599
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License Number State | NY
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