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REGINA'S SPEECH LANGUAGE PATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA SMERTENKO (OWNER)
(718) 404-4224
Entity
Organization

Contact information

Practice address
2121 SHORE PKWY APT 4N, APT.#4N, BROOKLYN, NY 11214-7229
(718) 404-4224
Mailing address
2121 SHORE PKWY APT 4N, APT.#4N, BROOKLYN, NY 11214-7229
(718) 404-4224

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
023448
NY

Other

Enumeration date
11/10/2015
Last updated
11/10/2015
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