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Organization
INNOVATIVE VOICE SLP P.C.
Active
Organization
INNOVATIVE VOICE SLP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND GONZALEZ M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(718) 510-3770
Entity
Organization
Contact information
Practice address
2909 171ST ST, FLUSHING, NY 11358-1541
(718) 510-3770
Mailing address
2909 171ST ST, FLUSHING, NY 11358-1541
(718) 510-3770
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
017478
NY
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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