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Organization
VIRGINIA P. BEAULAC, INC.
Active
Organization
VIRGINIA P. BEAULAC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA PALMER BEAULAC (SPEECH-LANGUAGE PATHOLOGIST)
(516) 279-9389
Entity
Organization
Contact information
Practice address
115 HAMPTON ROAD, GARDEN CITY, NY 11530
(516) 279-9389
(516) 280-6327
Mailing address
115 HAMPTON ROAD, GARDEN CITY, NY 11530
(516) 279-9389
(516) 280-6327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010-835-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-835-1
NY STATE LIC# SPEECH-LANGUAGE PATHOLOGY
—
Enumeration date
10/10/2008
Last updated
10/10/2008
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