Individual
ALEXANDRIA PANAGIOTA IKONOMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3187 COUNTRY CLUB RD, BRONX, NY 10465-1232
(609) 941-6125
Mailing address
3187 COUNTRY CLUB RD, BRONX, NY 10465-1232
(609) 941-6125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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