# AGR SPEECH-LANGUAGE PATHOLOGY

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

## Provider details

- **NPI number:** 1689976243
- **Authorized official:** MS. ARLENE RAFAELI (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (718) 536-4488

## Contact information

- **Practice address:** 2820 OCEAN PKWY APT 21A, BROOKLYN, NY 11235-7930
- **Practice address phone:** (718) 536-4488
- **Mailing address:** 2820 OCEAN PKWY APT 21A, BROOKLYN, NY 11235-7930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019762 | NY | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010
