Individual
BERNADETTE MARIE LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
105 GREENWOOD RD, BAY SHORE, NY 11706-5023
(917) 969-7681
Mailing address
42 PRINCESS AVE BAY SHORE, BAY SHORE, NY 11706-1618
(191) 796-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032881
NY
Other
Enumeration date
06/07/2021
Last updated
09/17/2024
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