Individual
SANDRA C FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
805 WYNGATE DR E, VALLEY STREAM, NY 11580-1404
(516) 599-3187
Mailing address
805 WYNGATE DR E, VALLEY STREAM, NY 11580-1404
(516) 599-3187
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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