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Organization
SPEECH AND LANGUAGE THERAPY ASSOCIATES OF STATEN ISLAND PLLC
Active
Organization
SPEECH AND LANGUAGE THERAPY ASSOCIATES OF STATEN ISLAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JIANNETTO MA CCCSLP (DIRECTOR)
(718) 351-6604
Entity
Organization
Contact information
Practice address
91 NEW DORP LANE, STATEN ISLAND, NY 10306
(718) 351-6604
(718) 351-2987
Mailing address
91 NEW DORP LANE, STATEN ISLAND, NY 10306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0116221
NY
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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