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NPI Code Detail

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

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
1101YM0800XMental 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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