Provider Demographics
NPI:1386236354
Name:PHILIPPIDES, KATRINE
Entity type:Individual
Prefix:
First Name:KATRINE
Middle Name:
Last Name:PHILIPPIDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EXCHANGE PL APT 931
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3209
Mailing Address - Country:US
Mailing Address - Phone:401-500-1126
Mailing Address - Fax:
Practice Address - Street 1:225 LAFAYETTE ST APT 4C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4012
Practice Address - Country:US
Practice Address - Phone:646-543-1698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker