Individual
DR. GEORGIA PANAGOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
530 EAST 72ND STREET, APT 7B, NEW YORK, NY 10021-4844
(212) 628-9039
Mailing address
530 E 72ND ST APT 7B, NEW YORK, NY 10021-4844
(212) 628-9039
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S09595-0
WORKERS COMPENSATION AUTHORIZATION NUMBER
NY
Enumeration date
10/06/2017
Last updated
10/06/2017
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