Individual
MS. BARBARA JOY WOLANOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 WESTONN STREET, HUNTINGTON STATION, NY 11746
(631) 812-3400
Mailing address
60 WESTERN STREET, HUNTINGTON STATION, NY 11746
(631) 812-3400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
073800841
NY
235Z00000X
Speech-Language Pathologist
PERMANENT
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073800841
—
NY
Enumeration date
09/10/2013
Last updated
09/10/2013
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