# ARIZ P FUENTEZ, SPEECH-LANGUAGE PATHOLOGIST, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588007942
- **Authorized official:** MR. ARIZ PETER FUENTEZ M.A.,CCC-SLP (PRESIDENT / SLP)
- **Authorized official phone:** (631) 439-0595

## Contact information

- **Practice address:** 66 SCOTCHPINE DR, ISLANDIA, NY 11749-1605
- **Practice address phone:** (631) 439-0595
- **Mailing address:** 66 SCOTCHPINE DR, ISLANDIA, NY 11749-1605
- **Mailing address phone:** (631) 439-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019561-1 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 04/16/2013