DR. GEORGIOS MAVROLEFTEROS


Address: 4311 211th St, Bayside, NY 11361-2836
Phone: 9172856851

DR. GEORGIOS MAVROLEFTEROS (NPI# 1619520608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619520608
Entity Type Individual
Full Name DR. GEORGIOS MAVROLEFTEROS
Credential PSY.D.
Practice Address 4311 211th St
Bayside
NY 11361-2836
Practice Telephone 9172856851
Mailing Telephone 9172856851
Enumeration Date 2019-07-19
Last Update Date 2019-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
101608-01 NY Behavioral Health & Social Service Providers

Office Location

Street Address 4311 211TH ST
City BAYSIDE
State NY
Zip Code 11361-2836

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003322082 Christine Marie Bartholoma Psychologist 1327 Bell Blvd, Bayside, NY 11360-1204 2017-12-28
1912364373 Tiffany Ann Avon Psychologist 207-28 Jordan Drice, Bayside, NY 11360 2016-01-15
1346319100 Irwin Feldinger Psychologist 214 06 16th Ave, Bayside, NY 11360-1218 2006-11-07
1326133547 Lynn F Birnbaum Psychologist 23 50 Waters Edge Drive, #3e, Bayside, NY 11360-2204 2006-10-04
1659464634 Angelo R Caredo Psychologist 38-11 Corporal Stone Street, Bayside, NY 11361-2140 2006-10-02
1548369663 Nicholas Gavalas Psychologist 21015 Union Turnpike, Bayside, NY 11364 2006-09-22
1861479636 Mary Theresa Kennedy Psychologist 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 2005-12-22
1124015425 Linda Sherry Berman Psychologist 21245 26th Ave, Suite 8a, Bayside, NY 11360-1901 2005-10-01
1477965978 New York Psychological Wellness, PC Psychologist 4640 Springfield Blvd, Bayside, NY 11361-3517 2014-06-02
1568632784 Leeanne Homburger Bonnet Psychologist 2901 216th St, Bayside, NY 11360-2810 2008-03-04
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Competitor

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City BAYSIDE
Zip Code 11361

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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