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Organization
FAMILY SPEECH CENTER
Active
Organization
FAMILY SPEECH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTA STAGIAS-COULIANIDIS (OWNER)
(718) 939-0306
Entity
Organization
Contact information
Practice address
2532 168TH ST, FLUSHING, NY 11358-1154
(718) 939-0306
(718) 939-0314
Mailing address
2532 168TH ST, FLUSHING, NY 11358-1154
(718) 939-0306
(718) 939-0314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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