Individual
MRS. CHANA R OPOCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72-33 141ST STREET, KEW GARDENS HILLS, NY 11367
(718) 509-5393
Mailing address
72-33 141ST ST, KEW GARDENS HILLS, NY 11367-2338
(718) 509-5393
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA13056
FL
235Z00000X
Speech-Language Pathologist
Primary
016344
NY
235Z00000X
Speech-Language Pathologist
SA-13056
FL
Other
Enumeration date
04/19/2009
Last updated
08/03/2022
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