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Organization
SLP NY CONSULTANT PC
Active
Organization
SLP NY CONSULTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GRANGER (CEO AND SPEECH/LANGUAGE PATHOLOGIST)
(917) 821-1056
Entity
Organization
Contact information
Practice address
192 COLONIAL AVE, WILLISTON PARK, NY 11596-1046
(917) 821-1056
Mailing address
192 COLONIAL AVE, WILLISTON PARK, NY 11596-1046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01313-4
NY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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