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Individual

ANITA TKACZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
8330 98TH ST APT 4A, WOODHAVEN, NY 11421-1643
(347) 997-0133

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
01/07/2021
Last updated
01/07/2021
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