Basic Information
Provider Information
NPI: 1497069967
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSVARIS
FirstName: PANAYIOTA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: TSHH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 363 AMSTERDAM AVE
Address2:  
City: WEST BABYLON
State: NY
PostalCode: 117044921
CountryCode: US
TelephoneNumber: 6313217119
FaxNumber:  
Practice Location
Address1: 70 GRAND ST
Address2:  
City: NEW ROCHELLE
State: NY
PostalCode: 108015606
CountryCode: US
TelephoneNumber: 9146364440
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2010
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2355S0801X NYY Speech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant

No ID Information.


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