Individual
MR. ASHOK MARULAPPA MAVINAKERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS-CCC/SLP
Contact information
Practice address
14842 86TH AVE, BRIARWOOD, NY 11435-3102
(718) 713-4382
Mailing address
14842 86TH AVE, BRIARWOOD, NY 11435-3102
(718) 713-4382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011679
NY
Other
Enumeration date
09/24/2007
Last updated
11/13/2013
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