Provider Demographics
NPI:1053925958
Name:KITSIOS, MARIA (LMT)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:
Last Name:KITSIOS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3076 35TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-4713
Mailing Address - Country:US
Mailing Address - Phone:718-795-5667
Mailing Address - Fax:
Practice Address - Street 1:3076 35TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4713
Practice Address - Country:US
Practice Address - Phone:718-795-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty