Individual
CARLY BROOKE WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 MILBURN AVE, BALDWIN, NY 11510-3628
(516) 377-4200
Mailing address
596 BOTHNER ST, OCEANSIDE, NY 11572-3635
(516) 244-0805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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