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Organization
GOLD COAST SPEECH & SWALLOWING SLP, PLLC
Active
Organization
GOLD COAST SPEECH & SWALLOWING SLP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PANCILA CCC-SLP, CBIS (CEO)
(516) 849-4035
Entity
Organization
Contact information
Practice address
21 BOND ST APT 3G, GREAT NECK, NY 11021-2029
(516) 849-4035
Mailing address
21 BOND ST APT 3G, GREAT NECK, NY 11021-2029
(516) 849-4035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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