Organization
KIM TSIRIGOTIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM TSIRIGOTIS (SPEECH LANGUAGE PATHOLOGIST)
(631) 581-1882
Entity
Organization
Contact information
Practice address
1 SPUR DR S, ISLIP TERRACE, NY 11752-2333
(631) 581-1882
Mailing address
1 SPUR DR S, ISLIP TERRACE, NY 11752-2333
(631) 581-1882
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01419378
—
NY
Enumeration date
04/26/2012
Last updated
04/26/2012
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