Individual
MARIA CHRISTINA STAVROULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2156
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(215) 776-2366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
290061
NY
Other
Enumeration date
05/05/2014
Last updated
11/22/2017
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