Organization
DIANA VOLLARO SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA VOLLARO (SPEECH-LANGUAGE PATHOLOGIST)
(516) 984-2863
Entity
Organization
Contact information
Practice address
3251 ROUTE 112, BLDG. 9, SUITE 3, MEDFORD, NY 11763-1446
(631) 732-4794
(631) 732-0355
Mailing address
3251 ROUTE 112, BLDG. 9, SUITE 3, MEDFORD, NY 11763-1446
(631) 732-4794
(631) 732-0355
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
016959-1
NY
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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