# SARA DEBOER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sara Dee Pathology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659130318
- **Authorized official:** SARA DEBOER MS, CCC-SLP, TSSLD (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (516) 650-0192

## Contact information

- **Practice address:** 1407 STONY BROOK RD, STONY BROOK, NY 11790-2214
- **Practice address phone:** (516) 650-0192
- **Mailing address:** 1407 STONY BROOK RD, STONY BROOK, NY 11790-2214
- **Mailing address phone:** (516) 650-0192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 03/15/2024