Individual
MR. COSTANTINOS STAMBOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2408 32ND ST STE 1002D, ASTORIA, NY 11102-1139
(718) 734-2373
(718) 734-2372
Mailing address
14916 17TH RD, WHITESTONE, NY 11357-2542
(917) 662-3041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020698
NY
Other
Enumeration date
10/09/2016
Last updated
05/13/2021
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