Individual
CASEY MARIE BUFFOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 123-4567
Mailing address
5 LANCELOT CT, SAINT JAMES, NY 11780-3115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
08/12/2022
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