National Provider Identifier

Christine Stephanie Stasiw

Christine Stephanie Stasiw is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1740626159Victor, NYSpeech-Language Pathologist

Profile Overview

NPI
1740626159
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 13, 2013
Last Updated
May 11, 2015

Practice Location

  • 590 Fishers Station Dr
  • # 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 477 Pine Circle Ext
  • Horseheads, NY 14845-1346

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1740626159
Entity Type
Individual
Last Name
Stasiw
First Name
Christine
Middle Name
Stephanie
Mailing Street Address
477 Pine Circle Ext
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1346
Mailing Country
US
Mailing Phone
(585) 500-5420
Practice Street Address
590 Fishers Station Dr
Practice Address Line 2
# 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
May 13, 2013
Last Updated
May 11, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)