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Organization
MANORVILLE SPEECH PATHOLOGY, PC
Active
Organization
MANORVILLE SPEECH PATHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL A RONDINELLA (SPEECH PATHOLOGIST, DIRECTOR)
(631) 325-7755
Entity
Organization
Contact information
Practice address
6144 ROUTE 25A, SUITE 9B, WADING RIVER, NY 11792-2018
(631) 325-7755
(631) 886-1419
Mailing address
PO BOX 125, MANORVILLE, NY 11949-0125
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
04/15/2009
Last updated
07/10/2014
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