Provider Demographics
NPI:1932750379
Name:KARAKOSTA, ELENI PERSEFONE (DACM, L AC)
Entity type:Individual
Prefix:DR
First Name:ELENI
Middle Name:PERSEFONE
Last Name:KARAKOSTA
Suffix:
Gender:F
Credentials:DACM, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 WILSON AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-2488
Mailing Address - Country:US
Mailing Address - Phone:646-337-4215
Mailing Address - Fax:
Practice Address - Street 1:24 WILSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-2491
Practice Address - Country:US
Practice Address - Phone:646-337-4215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006577171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist