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Organization
SPEECH PATHOLOGY EVALUATION FOR ADULTS AND KIDS, P.C.
Active
Organization
SPEECH PATHOLOGY EVALUATION FOR ADULTS AND KIDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE A CARNIVALE MA, CCC-SLP (PRESIDENT)
(516) 510-1609
Entity
Organization
Contact information
Practice address
55 POST AVE, WESTBURY, NY 11590-4361
(516) 510-1609
Mailing address
PO BOX 106, ROCKVILLE CENTRE, NY 11571-0106
(516) 510-1609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04045992
—
NY
Enumeration date
08/28/2017
Last updated
08/28/2017
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