Individual
LISA PAPANTONIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 HENRY ST, BEACON, NY 12508-3006
(718) 806-7100
Mailing address
6 STEWART AVE, BEACON, NY 12508-1240
(718) 806-7100
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001433-1
NY
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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