Individual
CALIANNE BOTSARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15840 76TH RD, FRESH MEADOWS, NY 11366-1032
(718) 380-1247
Mailing address
15840 76TH RD, FRESH MEADOWS, NY 11366-1032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025440
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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