Individual
MISS ANNA STANISLAVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(917) 340-0030
Mailing address
501 SURF AVE APT 23C, BROOKLYN, NY 11224-3549
(917) 340-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1135499171
NY
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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