Individual
MRS. CECILIA STANOLEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6936 169TH ST, FRESH MEADOWS, NY 11365-3325
(718) 591-5649
Mailing address
6936 169TH ST, FRESH MEADOWS, NY 11365-3325
(718) 591-5649
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011068-1
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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