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Organization

GINA SLP PC

Active
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Organization

GINA SLP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA VEKSELMAN MS, CCC-SLP (PRESIDENT)
(646) 824-6466
Entity
Organization

Contact information

Practice address
329 MCBAINE AVE, STATEN ISLAND, NY 10309-4271
(646) 824-6466
(718) 227-0368
Mailing address
329 MCBAINE AVE, STATEN ISLAND, NY 10309-4271
(646) 824-6466
(718) 227-0368

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014734
NY

Other

Enumeration date
11/25/2011
Last updated
11/25/2011
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