Individual
EVIENIA IRENE VASSILIADOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10471 QUEENS BLVD, FOREST HILLS, NY 11371-1137
(718) 275-6010
(718) 275-6010
Mailing address
10470 QUEENS BLVD, FOREST HILLS, NY 11375, 10470 QUEENS BLVD, FOREST HILLS, NY 11375, FOREST HILLS, NY 11375
(718) 275-6010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
07/21/2022
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