Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 024148-1 | NY |
NPI | 1669844833 |
---|---|
Provider Name | Eleni Filos |
First Address | Brooklyn, NY 11235-2904 |
Second Address | Brooklyn, NY 11235-2904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2015 |
Last Update Date | 27/10/2015 |