Individual
ANASTASIA SHAKALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E 109TH ST, NEW YORK, NY 10029-3703
(516) 282-4898
Mailing address
4020 NEW YORK AVE, SEAFORD, NY 11783-2206
(516) 282-4898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027857-1
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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