Individual
MR. ANASTASIOS BOUTSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. SLP
Contact information
Practice address
7725 COLONIAL RD, BROOKLYN, NY 11209-2909
(917) 892-5311
Mailing address
7725 COLONIAL RD, BROOKLYN, NY 11209-2909
(718) 836-0714
(718) 836-0714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018039
NY
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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