Organization
WAYNE ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE S AUBERTINE (SPEECH/LANGUAGE PATHOLOGIST)
(315) 524-5509
Entity
Organization
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Mailing address
5564 BUSHWOOD RD, ONTARIO, NY 14519-9717
(315) 524-5509
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
004439-1
NY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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