JOHANIS THAMAR PATSIKOS NURSE PRACTITIONER NPI 1518370055

NPI Information

Johanis Thamar Patsikos, NURSE PRACTITIONER is an adult health nurse practitioner in New York, NY with 8 years of experience. Johanis Thamar Patsikos, NURSE PRACTITIONER NPI is 1518370055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2016

The provider's business location address is:

161 FORT WASHINGTON AVE
NEW YORK, NY
ZIP 10032-729
Phone: (212) 305-7340
Fax: (212) 305-6891

The NPI 1518370055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 5/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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