Individual
MRS. ANDREA MICHELE BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6 CHARDONNAY RD, COMMACK, NY 11725-1768
(631) 269-2706
Mailing address
6 CHARDONNAY RD, COMMACK, NY 11725-1768
(631) 269-2706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007739
NY
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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