Individual
BERKLEY KINGSTON SKOROBOHATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390B MONTAUK HIGHWAY, EASTPORT, NY 11941
(631) 325-0800
Mailing address
PO BOX 405, REMSENBURG, NY 11960-0405
(631) 325-0897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009406
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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