Individual
CASSANDRA HUEBENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 DITMARS BLVD, ASTORIA, NY 11105-3416
(718) 721-6410
Mailing address
2121 DITMARS BLVD, ASTORIA, NY 11105-3416
(718) 721-6410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018678-1
NY
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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