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Organization
CONSULTATION-INTERVENTION INC.
Active
Organization
CONSULTATION-INTERVENTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE A. GRUBLER MA, CCC-SLP, TSHH (PRESIDENT, CEO, SPEECH LANG. PATH.)
(917) 355-5060
Entity
Organization
Contact information
Practice address
21245 26TH AVE, BAYSIDE, NY 11360-1901
(917) 355-5060
(718) 224-0103
Mailing address
4206A BELL BLVD STE 250, BAYSIDE, NY 11361-2862
(917) 355-5060
(718) 224-0103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010959-1
NY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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