Lena Poulos

NPI 1760893432 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1760893432
Gender Female
Enumeration Date 05/15/2014
Last Updated 05/15/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
550 79TH ST
BROOKLYN NY, 11209-3710, US
Phone (646) 296-3196
Fax
Business Location
550 79TH ST
BROOKLYN NY, 11209-3710, US
Phone (646) 296-3196
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 023647-1
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According to our database, Lena Poulos NPI is 1760893432, taxonomy code is 235Z00000X and license number is 023647-1, license state is located at New York. Lena Poulos physically located at 550 79th St, Brooklyn NY, 11209-3710. NPI Number Lena Poulos has the Individual type.

1760893432 NPI number is provided on an as is basis without warranty of any kind. 1760893432 is maintained by the National Plan & Provider Enumeration System. The contents of Lena Poulos are for informational purposes only.