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NPI Code Detail

MEDICARE: DESPINA HOTZOGLOU

MEDICARE:   DESPINA  HOTZOGLOU
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1669755377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESPINA HOTZOGLOU
Provider Business Mailing Address
First Line : 3636 10TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-5112
Country : US
Telephone Number : 718-361-7464
Fax Number :
Provider Business Practice Location Address
First Line : 3636 10TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-5112
Country : US
Telephone Number : 718-361-7464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 08/14/2017

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Directions to “ DESPINA HOTZOGLOU ” Practice Location

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