Individual
MS. JACKELYN VAKALOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 18TH ST, ASTORIA, NY 11105-3897
(917) 731-4060
Mailing address
2016 18TH ST, ASTORIA, NY 11105-3897
(917) 731-4060
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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