# MANORVILLE SPEECH PATHOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942443213
- **Authorized official:** MRS. CHERYL A RONDINELLA (SPEECH PATHOLOGIST, DIRECTOR)
- **Authorized official phone:** (631) 325-7755

## Contact information

- **Practice address:** 6144 ROUTE 25A, SUITE 9B, WADING RIVER, NY 11792-2018
- **Practice address phone:** (631) 325-7755
- **Practice address fax:** (631) 886-1419
- **Mailing address:** PO BOX 125, MANORVILLE, NY 11949-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2009
- **Last updated:** 07/10/2014