Individual
MS. LORIE ANN SPECIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SMITHS LN, COMMACK, NY 11725-3510
(631) 543-2338
Mailing address
467 MAIN ST, NORTHPORT, NY 11768-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003068-1
NY
225200000X
Physical Therapy Assistant
Primary
001068-1
NY
Other
Enumeration date
02/27/2007
Last updated
11/06/2020
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