# COMMUNICATION REMEDIATION SPEECH AND LANGUAGE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093067704
- **Authorized official:** MRS. SUZANNE MARIE RIZZO MA/CCC-SLP (VICE PRESIDENT)
- **Authorized official phone:** (631) 499-5595

## Contact information

- **Practice address:** 2171 JERICHO TPKE, SUITE \#340, COMMACK, NY 11725-2937
- **Practice address phone:** (631) 499-5595
- **Practice address fax:** (631) 499-3060
- **Mailing address:** 2171 JERICHO TPKE, SUITE \#340, COMMACK, NY 11725-2937
- **Mailing address phone:** (631) 499-5595
- **Mailing address fax:** (631) 499-3060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 007782-1 | NY | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012