Individual
ANASTASIYA LYSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 479-1868
Mailing address
23 OLD MAMARONECK RD APT 4G, WHITE PLAINS, NY 10605-2016
(518) 810-1419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
035509
NY
Other
Enumeration date
02/28/2024
Last updated
06/12/2025
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