Stavroula Theodoratos | Brooklyn, NY • PECOS Search

Stavroula Theodoratos

Specialist

Other Service Providers

7616 13th Ave, Brooklyn, NY 11228-2412

PECOS Enrollment

Based on the most recent information from CMS, provider Stavroula Theodoratos does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982252276
Provider Type
Individual
Full Name
Theodoratos, Stavroula
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/29/2019
Last Updated
8/29/2019

Contact Information

Practice Location

7616 13th Ave, Brooklyn, NY 11228-2412

Unlisted Fax

Mailing Location

1326 78th St, Brooklyn, NY 11228-2720

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer