Individual
AYANNA HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 36TH AVE, ASTORIA, NY 11106-1334
(718) 819-8623
Mailing address
3612 36TH AVE, ASTORIA, NY 11106-1334
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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