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Contact Information

SOPHY DEDOPOULOS, NP
410 LAKEVILLE RD
SUITE 107
NEW HYDE PARK, NY11042-1101
 Phone: 516-465-5400
 Fax: 516-465-5454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SOPHY DEDOPOULOS · (Female)

NPI # 1538274451
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/20/2006
Last updated 02/16/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 303779
  • NY License # 497423 / 303779
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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