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Organization
MP SPEECH LANGUAGE PATHOLOGY PC
Active
Organization
MP SPEECH LANGUAGE PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY POTTHEISER SLPMACCC (PRESIDENT)
(917) 270-1140
Entity
Organization
Contact information
Practice address
3936 AMBOY RD, STATEN ISLAND, NY 10308-2406
(917) 270-1140
(718) 317-6391
Mailing address
234 MCBAINE AVE, STATEN ISLAND, NY 10309-1611
(917) 270-1140
(718) 317-6391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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