Individual
CHRISTINE STEPHANIE STASIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FISHERS STATION DR, # 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
477 PINE CIRCLE EXT, HORSEHEADS, NY 14845-1346
(585) 500-5420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1402652
NY
Other
Enumeration date
05/13/2013
Last updated
05/11/2015
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