Organization
SPEECH LANGUAGE PATHOLOGY IN MOTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA M ROCCO M.A. CCC-SLP, HPCS (OWNER, SPEECH PATHOLOGIST)
(631) 479-3393
Entity
Organization
Contact information
Practice address
829 OLD NICHOLS RD, ISLANDIA, NY 11749-5004
(631) 479-3393
(631) 479-3358
Mailing address
829 OLD NICHOLS RD, ISLANDIA, NY 11749-5004
(631) 479-3393
(631) 479-3358
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
018512
NY
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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