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Individual

CHRIS EFSTATHIOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
363 ABBINGTON CT, COPIAGUE, NY 11726-4622
(516) 659-0980
Mailing address
363 ABBINGTON CT, COPIAGUE, NY 11726-4622

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R0533312-1
NY

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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