Individual
ANASTASIYA KIM-BAGDASARYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 EAST 4TH STREET, NY, NY 10009
(212) 777-4103
Mailing address
333 EAST 4TH STREET, NY, NY 10009
(212) 777-4103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024731-1
NY
Other
Enumeration date
01/28/2014
Last updated
03/22/2017
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