Individual
ANGELINA STASYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Mailing address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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