MEDICARE: DR. NEOPHYTOS L PAPANEOPHYTOU PHD, LMHC, LPC, NCC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023178795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEOPHYTOS L PAPANEOPHYTOU PHD, LMHC, LPC, NCC

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

Provider Business Practice Location Address
First Line	:	6415 BAY PARKWAY
Second Line	:	6415 BAY PARKWAY
City	:	BROOKLYN
State	:	NY
Zip	:	11204
Country	:	US
Telephone Number	:	718-331-3800
Fax Number	:	718-331-3387

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	11/13/2013

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