Individual
DWAYNE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 DIELLEN LN, ELMONT, NY 11003-4517
(516) 561-2288
Mailing address
665 DIELLEN LN, ELMONT, NY 11003-4517
(516) 561-2288
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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