STEPHANIE LAILA ANISMATTA

BAYSIDE, NY
NPI1689383127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: NY  025724)
Enumeration Date2022-11-22
Last Update Date2024-02-21
Business Address
DR. STEPHANIE LAILA ANISMATTA PSYD
1592 208TH PL
BAYSIDE, NY 11360-1122
Phone number: 908-202-3684
Mailing Address
DR. STEPHANIE LAILA ANISMATTA PSYD
1592 208TH PL
BAYSIDE, NY 11360-1122
Phone number: 908-202-3684
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