Individual
ANASTASIA ANTONIA PAVLIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 MONTAUK HWY, COPIAGUE, NY 11726-4903
(516) 519-3372
Mailing address
903 MONTAUK HWY, COPIAGUE, NY 11726-4903
(516) 519-3372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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