Organization
ANASTACIA SPEECH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUN SOO PAK MS.ED/CCC-SLP/TSHH (PRESIDENT)
(718) 279-0594
Entity
Organization
Contact information
Practice address
23205 56TH RD, OAKLAND GARDENS, NY 11364-2010
(718) 279-0594
(718) 279-0594
Mailing address
23205 56TH RD, OAKLAND GARDENS, NY 11364-2010
(718) 279-0594
(718) 279-0594
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
018359-1
NY
Other
Enumeration date
04/26/2014
Last updated
04/26/2014
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