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Individual

CASSIDY COMERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
224 EATON LN, WEST ISLIP, NY 11795-4505
(631) 901-2134

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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