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Organization
SACHEM SPEECH INCORPORATION
Active
Organization
SACHEM SPEECH INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MARIE OLIVA S.L.P. (SPEECH-LANGUAGE PATHOLOGY)
(631) 831-1028
Entity
Organization
Contact information
Practice address
367 SMITH RD, LAKE RONKONKOMA, NY 11779-2206
(631) 831-1028
(631) 648-3442
Mailing address
367 SMITH RD, LAKE RONKONKOMA, NY 11779-2206
(631) 831-1028
(631) 648-3442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
725799
NY
Other
Enumeration date
09/12/2012
Last updated
09/14/2012
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