Provider Demographics
NPI:1831832518
Name:APOTSOS, ANASTASIA CONSTANTINA
Entity type:Individual
Prefix:MISS
First Name:ANASTASIA
Middle Name:CONSTANTINA
Last Name:APOTSOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MAIZE CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3225
Mailing Address - Country:US
Mailing Address - Phone:631-456-0106
Mailing Address - Fax:
Practice Address - Street 1:7 MAIZE CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3225
Practice Address - Country:US
Practice Address - Phone:631-456-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist