Individual
ATHENA WASILCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 QUINCY ST, BROOKLYN, NY 11221-2210
(718) 443-3440
Mailing address
5 WANSOR ST, BAYVILLE, NY 11709-3115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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