Individual
ALTIONA STEFANLLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 WINDSOR RD, STATEN ISLAND, NY 10314-4516
(347) 210-5601
Mailing address
54 WINDSOR RD, STATEN ISLAND, NY 10314-4516
(347) 210-5601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
856985
NY
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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