Organization
NSC SPEECH LANGUAGE PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLETTA STAGIAS-COULIANIDIS M.A.,CCC-SLP (PRESIDENT)
(718) 939-0306
Entity
Organization
Contact information
Practice address
2915 168TH ST, FLUSHING, NY 11358-1512
(718) 939-0306
Mailing address
2915 168TH ST, FLUSHING, NY 11358-1512
(718) 939-0306
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
009203
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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