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Organization
MLR SPEECH LANGUAGE PATHOLOGY
Active
Organization
MLR SPEECH LANGUAGE PATHOLOGY
Active
Other names
Integrated Speech Language Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA LYNN RAMOS MA, CCC-SLP (PRESIDENT/DIRECTOR)
(718) 948-8879
Entity
Organization
Contact information
Practice address
120 RATHBUN AVE, STATEN ISLAND, NY 10312-3006
(718) 948-8879
(718) 356-3287
Mailing address
120 RATHBUN AVE, STATEN ISLAND, NY 10312-3006
(718) 948-8879
(718) 356-3287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014219-1
NY
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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