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1215061544
PETER SHAKALIS
ROOSEVELT, NY
NPI
1215061544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 009962-1)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- PETER SHAKALIS
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
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Mailing Address
-- PETER SHAKALIS
3946 WILLIAM ST
SEAFORD, NY 11783-2136
Phone number:
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