Individual
MRS. LIANNA FELIZ DULFON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP TSSLD
Contact information
Practice address
43 SEABREEZE AVE, WESTHAMPTON, NY 11977-1111
(631) 804-3337
Mailing address
41 PINE STREET, EAST MORICHES, NY 11940
(631) 804-3337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
017754-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
017754-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03637056
—
NY
Enumeration date
11/26/2008
Last updated
02/05/2020
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