DIMITRA KOSTOUROS-GAITANERIS PMHC
NPI 1700410339
Counselor - Mental Health in Long Island City, NY
About Dimitra Kostouros-gaitaneris Pmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIMITRA KOSTOUROS-GAITANERIS PMHC (NPI 1700410339) is an individual mental health provider in Long Island City, New York, licensed in New York (P104909) and active in the NPI registry since February 2020. She maintains a secondary practice location in Staten Island.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11101
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dimitra Kostouros-gaitaneris's NPI number?
The NPI number for Dimitra Kostouros-gaitaneris is 1700410339. It was assigned to this individual provider in the NPPES registry on February 22, 2020.
Where is Dimitra Kostouros-gaitaneris located?
Dimitra Kostouros-gaitaneris practices at The Fortune Society Inc. 29-76 Northern Blvd 2nd Fl, Long Island City, NY 11101. The listed phone number is (212) 691-7554.
What is Dimitra Kostouros-gaitaneris's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Dimitra Kostouros-gaitaneris was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dimitra Kostouros-Gaitaneris, PMHC · NPI 1700410339
Mental Health provider in Long Island City, New York. Individual provider, active in the CMS NPPES registry since February 22, 2020.
## Identity
- **NPI:** 1700410339 (Entity type: Individual)
- **Enumerated:** February 22, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** P104909 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** THE FORTUNE SOCIETY INC., 29-76 NORTHERN BLVD 2ND FL, Long Island City, NY 11101-2822
- **Phone:** (212) 691-7554
## Record status
- **NPPES last updated:** May 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1700410339) · Data from the CMS NPPES public registry.