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Organization
EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC
Active
Organization
EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA BLANGIFORTI M.S. CCC-SLP (OWNER/DIRECTOR)
(631) 998-0368
Entity
Organization
Contact information
Practice address
4 MONTAUK HWY, WESTHAMPTON, NY 11977-1235
(631) 998-0368
(631) 878-1722
Mailing address
4 MONTAUK HWY, WESTHAMPTON, NY 11977-1235
(631) 998-0368
(631) 878-1722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
008637-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
008637-1
NY
Other
Enumeration date
05/04/2010
Last updated
08/23/2022
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