Individual
CARRIE BOCZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WOODMERE BLVD S, WOODMERE, NY 11598-1803
(917) 514-0257
Mailing address
130 WOODMERE BLVD S, WOODMERE, NY 11598-1803
(917) 514-0257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033540
NY
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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