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1003366576
COSTANTINOS STAMBOULIS
ASTORIA, NY
NPI
1003366576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 020698)
Enumeration Date
2016-10-09
Last Update Date
2021-05-13
Business Address
Mr. COSTANTINOS STAMBOULIS OTR/L
2408 32ND ST STE 1002D
ASTORIA, NY 11102-1139
Phone number: 718-734-2373
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Mailing Address
Mr. COSTANTINOS STAMBOULIS OTR/L
14916 17TH RD
WHITESTONE, NY 11357-2542
Phone number: 917-662-3041
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