Peter Shakalis

NPI 1215061544 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1215061544
Gender Male
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
380 WASHINGTON AVE
ROOSEVELT NY, 11575-1845, US
Phone (516) 378-2000
Fax
Business Location
3946 WILLIAM ST
SEAFORD NY, 11783-2136, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 009962-1
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According to our database, Peter Shakalis NPI is 1215061544, taxonomy code is 235Z00000X and license number is 009962-1, license state is located at New York. Peter Shakalis physically located at 380 Washington Ave, Roosevelt NY, 11575-1845. NPI Number Peter Shakalis has the Individual type.

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1215061544 NPI number is provided on an as is basis without warranty of any kind. 1215061544 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Shakalis are for informational purposes only.