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Organization

MICHELE DE MARIA SLP, P.C.

Active
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Organization

MICHELE DE MARIA SLP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELE DE MARIA SLP (SPEECH LANGUAGE PATHOLOGIST)
(917) 282-2219
Entity
Organization

Contact information

Practice address
60 BALDWIN AVE, LOCUST VALLEY, NY 11560-1921
(917) 282-2219
Mailing address
60 BALDWIN AVE, LOCUST VALLEY, NY 11560-1921
(917) 282-2219

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009022-1
NY

Other

Enumeration date
12/01/2011
Last updated
12/01/2011
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