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Organization
MATTIYAHU INC.
Active
Organization
MATTIYAHU INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE LUCILLE EDELSTEIN MA,CCC/SLP, TSSLD-BE (SPEECH PATHOLOGIST)
(646) 721-8903
Entity
Organization
Contact information
Practice address
2191 CRESTON AVE APT 5D, BRONX, NY 10453-2621
(646) 721-8903
Mailing address
2191 CRESTON AVE APT 5D, BRONX, NY 10453-2621
(646) 721-8903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022736-1
NY
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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