Individual
BETH KIMBERLY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
11 DAIRY FARM RD, STONY BROOK, NY 11790-2111
(631) 751-3148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011645-1
NY
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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