Individual
ANNA TAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-7550
Mailing address
55 BROADWAY UNIT 80, GREENLAWN, NY 11740-4003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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