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NPI Code Detail

MEDICARE: GEORGIA ELENI TSAMASIROS LMSW, MPA

MEDICARE:   GEORGIA ELENI TSAMASIROS  LMSW, MPA
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
1104100000XSocial Worker104786NY

General Provider Information

NPI Number : 1073098703
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIA ELENI TSAMASIROS LMSW, MPA
Provider Business Mailing Address
First Line : 125 BEACH 124TH ST APT 2K
Second Line :
City : ROCKAWAY PARK
State : NY
Zip : 11694-1858
Country : US
Telephone Number : 917-681-6311
Fax Number :
Provider Business Practice Location Address
First Line : 125 BEACH 124TH ST APT 2K
Second Line :
City : ROCKAWAY PARK
State : NY
Zip : 11694-1858
Country : US
Telephone Number : 917-681-6311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2018
Last Update Date : 09/28/2018

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Directions to “ GEORGIA ELENI TSAMASIROS LMSW, MPA” Practice Location

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