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Individual

MR. ARIZ PETER FUENTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A. CCC/SLP

Contact information

Practice address
66 SCOTCHPINE DR, ISLANDIA, NY 11749-1605
(631) 439-0595
(631) 439-0595
Mailing address
66 SCOTCHPINE DR, ISLANDIA, NY 11749-1605
(631) 439-0595
(631) 439-0595

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019561
NY

Other

Enumeration date
12/11/2009
Last updated
12/11/2009
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