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Organization
MID SUFFOLK SPEECH PATHOLOGY & SWALLOWING DISORDER SERVICES OF L.I., P
Active
Organization
MID SUFFOLK SPEECH PATHOLOGY & SWALLOWING DISORDER SERVICES OF L.I., P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE STIENE (PRESIDENT)
(631) 689-6858
Entity
Organization
Contact information
Practice address
283 COMMACK RD STE 303, COMMACK, NY 11725-3400
(631) 689-6858
Mailing address
10 SEAN LN, MOUNT SINAI, NY 11766-1847
(631) 278-7450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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