Organization
ALLIED SPEECH-LANGUAGE THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. DOMINGO PH.D. (PRESIDENT)
(516) 249-5477
Entity
Organization
Contact information
Practice address
399 CONKLIN ST, SUITE 303, FARMINGDALE, NY 11735-2614
(516) 249-5477
(516) 777-2821
Mailing address
399 CONKLIN ST, SUITE 303, FARMINGDALE, NY 11735-2614
(516) 249-5477
(516) 777-2821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003834-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477629558
NPI INDIVIDUAL
NY
Enumeration date
09/09/2009
Last updated
09/09/2009
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