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Organization
KEYSTONE SLP PLLC
Active
Organization
KEYSTONE SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIA BAKUNOVA (SLP)
(646) 281-5946
Entity
Organization
Contact information
Practice address
145 PARK PL APT 4C, BROOKLYN, NY 11217-3378
(646) 281-5946
Mailing address
145 PARK PL APT 4C, BROOKLYN, NY 11217-3378
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
11/06/2024
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