MEDICARE: SOTIRIA EVERETT R.D

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	133V00000X	Registered Dietitian	006183	NY

General Provider Information

NPI Number	:	1043432990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOTIRIA EVERETT R.D

Provider Business Mailing Address
First Line	:	1981 MARCUS AVE STE E110
Second Line	:	NORTH SHORE-LIJ HEALTH SYSTEM
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1038
Country	:	US
Telephone Number	:	516-881-7034
Fax Number	:	516-881-7049

Provider Business Practice Location Address
First Line	:	1981 MARCUS AVE STE E110
Second Line	:	NORTH SHORE-LIJ HEALTH SYSTEM
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1038
Country	:	US
Telephone Number	:	516-881-7034
Fax Number	:	516-881-7049

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	03/21/2014

Similar Medicare Providers

1366415135 — HOWARD ADAM LANE M.D.
Practice Location Address:

1981 MARCUS AVE STE E115
NEW HYDE PARK, NY
11042-1038

Practice Phone: 516-627-5113
Practice Fax: 513-365-2817

1013131465 — CENTER FOR COGNITIVE AND DIALECTICAL BEHAVIOR THERAPY
Practice Location Address:

1981 MARCUS AVE , SUITE C119
NEW HYDE PARK, NY
11042-1038

Practice Phone: 516-390-3525
Practice Fax: 516-396-2195

1003038209 — DR. AARON DAVID DRUCKER PSY.D.
Practice Location Address:

1981 MARCUS AVE STE C119
NEW HYDE PARK, NY
11042-1038

Practice Phone: 516-390-3525
Practice Fax: 516-396-2195

1912129115 — MR. MITCHELL LEE YOUNG L.C.S.W.
Practice Location Address:

1981 MARCUS AVE , SUITE C119
NEW HYDE PARK, NY
11042-1038

Practice Phone: 516-390-3525
Practice Fax: 516-396-2195

1093923815 — JULIA MARKS
Practice Location Address:

1981 MARCUS AVE , SUITE C119
NEW HYDE PARK, NY
11042-1038

Practice Phone: 516-390-3525
Practice Fax:

1568693752 — DR. TRACY JACLYN KISNER PSY.D.
Practice Location Address:

1981 MARCUS AVE , SUITE C119
NEW HYDE PARK, NY
11042-1038

Practice Phone: 516-390-3525
Practice Fax:

Directions to “ SOTIRIA EVERETT R.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.