Individual
ANASTASIA M PAPADOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 949-7680
(914) 997-7942
Mailing address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 949-7680
(914) 997-7942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
07/20/2009
Last updated
09/14/2009
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