Provider Demographics
NPI:1467765537
Name:BOSTAN, ANAMARIA NICOLETA (MA SLP)
Entity Type:Individual
Prefix:
First Name:ANAMARIA
Middle Name:NICOLETA
Last Name:BOSTAN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 54TH ST
Mailing Address - Street 2:APT# 5C
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-1530
Mailing Address - Country:US
Mailing Address - Phone:646-750-6892
Mailing Address - Fax:
Practice Address - Street 1:3120 54TH ST
Practice Address - Street 2:APT# 5C
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-1530
Practice Address - Country:US
Practice Address - Phone:646-750-6892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist