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Organization

INNOVATIVE VOICE SLP P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND GONZALEZ M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(718) 510-3770
Entity
Organization

Contact information

Practice address
2909 171ST ST, FLUSHING, NY 11358-1541
(718) 510-3770
Mailing address
2909 171ST ST, FLUSHING, NY 11358-1541
(718) 510-3770

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
017478
NY

Other

Enumeration date
08/03/2013
Last updated
08/03/2013
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