Individual
DR. TANYA STATHOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2297 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3666
(631) 585-1212
(631) 585-1006
Mailing address
2297 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3666
(631) 585-1212
(631) 585-1006
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002503-1
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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