Individual ProviderAnastasia M PapadopoulosSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 Greenridge Ave, White Plains, NY 10605-1201(914) 949-7680PECOS EnrollmentBased on the most recent information from CMS, provider Anastasia M Papadopoulos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578793063Provider TypeIndividualFull NamePapadopoulos, Anastasia MGenderFemaleSole ProprietorNoEnumeration Date7/20/2009Last Updated9/14/2009Contact InformationPractice LocationPractice Address19 Greenridge Ave, White Plains, NY 10605-1201Phone(914) 949-7680Fax(914) 997-7942Mailing LocationMailing Address19 Greenridge Ave, White Plains, NY 10605-1201Phone(914) 949-7680Fax(914) 997-7942Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense076442New YorkProvider IdentifiersIDDescriptionIssuerID00355940DescriptionOtherIssuerAGENCY MEDICAID #New YorkID1285628552DescriptionOtherIssuerAGENCY NPINew YorkIDWVE061DescriptionOtherIssuerAGENCY MEDICARE #New York