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Organization
EASTERN LI SPEECH PATHOLOGY &SWALLOWING DISORDERS PC
Active
Organization
EASTERN LI SPEECH PATHOLOGY &SWALLOWING DISORDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANINE STIENE SLP (OWNER)
(631) 689-6858
Entity
Organization
Contact information
Practice address
1500 WILLIAM FLOYD PKWY, SUITE 303, EAST YAPHANK, NY 11967-1800
(631) 775-8203
(631) 775-8202
Mailing address
1500 WILLIAM FLOYD PKWY, SUITE 303, EAST YAPHANK, NY 11967-1800
(631) 775-8203
(631) 775-8202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011861
NY
Other
Enumeration date
12/21/2010
Last updated
07/16/2012
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