Provider Demographics
NPI:1255819454
Name:PAPPAS, MARIA A
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SWENSON DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1223
Mailing Address - Country:US
Mailing Address - Phone:516-921-5292
Mailing Address - Fax:
Practice Address - Street 1:8 SWENSON DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1223
Practice Address - Country:US
Practice Address - Phone:516-921-5292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator