Individual
MR. ADAM J KOLESAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSP.,CCC-SLP, BRS-S
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8884
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007180-1
NY
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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