Individual
MS. ALEXANDRA NICOLE MOUSTAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 SAINT EDWARDS ST, BROOKLYN, NY 11205-3184
(718) 855-6838
Mailing address
325 93RD ST, BROOKLYN, NY 11209-6901
(646) 203-5901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030198
NY
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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