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Organization
ROWAN GROVE SPEECH
Active
Organization
ROWAN GROVE SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA VISCUSO (OWNER)
(631) 384-0489
Entity
Organization
Contact information
Practice address
23 QUOGUE AVE, FLANDERS, NY 11901-4248
(631) 384-0489
Mailing address
23 QUOGUE AVE, FLANDERS, NY 11901-4248
(631) 384-0489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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