Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodora Theodosiadou

Individual provider Specialist · NPI 1194087700

Theodora Theodosiadou is a Specialist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

4515 172nd St
Flushing, NY 11358-3335
Phone: (917) 868-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence COOPERKIDSTHERAPYASS (NY)

Record details

NPI number1194087700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2012
Last updated in NPPESJune 10, 2012

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