Individual
ANIA BAKUNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP TSSLD BE
Contact information
Practice address
145 PARK PL APT 4C, BROOKLYN, NY 11217-3378
(646) 281-5946
Mailing address
145 PARK PL APT 4C, BROOKLYN, NY 11217-3378
(646) 281-5946
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-315120
NY
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/06/2024
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