Individual
ANASTASIA MARIA LIOTOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
21031 26TH AVE, BAYSIDE, NY 11360-1949
(718) 747-5437
Mailing address
4311 195TH ST, FLUSHING, NY 11358-3518
(917) 502-2409
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383688
NY
Other
Enumeration date
09/12/2024
Last updated
01/15/2025
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