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Individual

MS. ANASTASIA NATASHA GLIKAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
15709 65TH AVE, FLUSHING, NY 11367-1232
(347) 866-7400
Mailing address
15709 65TH AVE, FLUSHING, NY 11367-1232

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009613-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03626226
NY
Enumeration date
03/16/2009
Last updated
08/04/2016
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