Individual
ADRIANA KOSTAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E 96TH ST, NEW YORK, NY 10128-3805
(212) 348-1694
Mailing address
1820 PARSONS BLVD, WHITESTONE, NY 11357-3042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034735
NY
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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