ELLIE THEODORAKIS

JAMAICA, NY
NPI1669178083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  029649)
Enumeration Date2023-02-07
Last Update Date2025-07-14
Business Address
ELLIE THEODORAKIS PA-C
9420 GUY R BREWER BLVD
JAMAICA, NY 11451-0002
Phone number: 718-262-2000
Mailing Address
ELLIE THEODORAKIS PA-C
9420 GUY R BREWER BLVD
JAMAICA, NY 11451-0002
Phone number: 718-262-2000