Individual
ANASTASIA ATHANASIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14717 12TH AVE, WHITESTONE, NY 11357-1722
(917) 328-9054
Mailing address
14717 12TH AVE, WHITESTONE, NY 11357-1722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031010
NY
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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