Provider Demographics
NPI:1326877432
Name:ALMIROUDIS, ANNA (MS, CNS, CDN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ALMIROUDIS
Suffix:
Gender:F
Credentials:MS, CNS, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 22ND DR
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3401
Mailing Address - Country:US
Mailing Address - Phone:718-915-7579
Mailing Address - Fax:
Practice Address - Street 1:2111 22ND DR
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3401
Practice Address - Country:US
Practice Address - Phone:212-317-4331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1776957133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist