Provider Demographics
NPI:1366775454
Name:POURNARAS, ELENI ALEXANDRA (MAC, LAC)
Entity type:Individual
Prefix:MS
First Name:ELENI
Middle Name:ALEXANDRA
Last Name:POURNARAS
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3611
Mailing Address - Country:US
Mailing Address - Phone:717-578-2068
Mailing Address - Fax:
Practice Address - Street 1:827 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3123
Practice Address - Country:US
Practice Address - Phone:717-578-2068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000963171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist