MEDICARE: MS. ELENI TRIFOS RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	037729-1	NY

General Provider Information

NPI Number	:	1003114646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELENI TRIFOS RPH

Provider Business Mailing Address
First Line	:	3519 31ST AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-1408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 31ST AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11106-1408
Country	:	US
Telephone Number	:	718-267-8063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	09/29/2015

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Directions to “ MS. ELENI TRIFOS RPH” Practice Location

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