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Anastasia Athanasiou

Speech-Language Pathologist, in Whitestone, NY. Individual provider (NPI-1).

NPI number1104595040
StatusActive
Last updated in NPPESSep 13, 2021

Details

NPI
1104595040
Entity type
Individual (NPI-1)
Name
Anastasia Athanasiou
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 13, 2021
Certification date
Sep 13, 2021
Last updated
Sep 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,031010NYYes

Practice location

14717 12th Ave
Whitestone, NY 11357-1722

Phone 917-328-9054

Mailing address

14717 12th Ave
Whitestone, NY 11357-1722

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