Organization
MELISSA ANNE TERPKO M.S.,CCC,SLP,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANNE TERPKO MS CCC SLO (PRESIDENT)
(631) 807-5109
Entity
Organization
Contact information
Practice address
1425 N MONROE AVE, WEST ISLIP, NY 11795-1914
(631) 807-5109
Mailing address
1425 N MONROE AVE, WEST ISLIP, NY 11795-1914
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
018032
NY
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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