Provider Demographics
NPI:1487160016
Name:MONIOUDIS, EVA (PT, DPT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:MONIOUDIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:MILONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:3961 LONG BEACH RD
Practice Address - Street 2:
Practice Address - City:ISLAND PARK
Practice Address - State:NY
Practice Address - Zip Code:11558-1127
Practice Address - Country:US
Practice Address - Phone:516-897-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist