Individual
MRS. ANDREA RECINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2-37 34TH ST, FAIR LAWN, NJ 07410-4742
(862) 201-6442
Mailing address
2-37 34TH ST, FAIR LAWN, NJ 07410-4742
(862) 201-6442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00912600
NJ
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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