Individual
CAROLINE LOUISE ERNECOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC, TSSLD
Contact information
Practice address
589 SPRUCE AVE, SAYVILLE, NY 11782-3322
(631) 567-1609
Mailing address
589 SPRUCE AVE, SAYVILLE, NY 11782
(631) 567-1609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
019126-1
NY
235Z00000X
Speech-Language Pathologist
Primary
12134936
NY
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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