Organization
ARIZ P FUENTEZ, SPEECH-LANGUAGE PATHOLOGIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIZ PETER FUENTEZ M.A.,CCC-SLP (PRESIDENT / SLP)
(631) 439-0595
Entity
Organization
Contact information
Practice address
66 SCOTCHPINE DR, ISLANDIA, NY 11749-1605
(631) 439-0595
Mailing address
66 SCOTCHPINE DR, ISLANDIA, NY 11749-1605
(631) 439-0595
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019561-1
NY
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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