Individual
CHARIKEIA NTALLA-KONSTANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
80 5TH AVE RM 901, NEW YORK, NY 10011-8018
(917) 915-6307
Mailing address
2522 35TH ST FL 2, ASTORIA, NY 11103-4803
(917) 915-6307
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001065
NY
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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