Individual
MARIA STATHAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E 14TH ST STE 200, BROOKLYN, NY 11235-3973
(718) 769-2698
Mailing address
1023 79TH ST, BROOKLYN, NY 11228-2615
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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