Organization
ISLAND WIDE SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARA EILEEN AUGUSTOVER M.A. CCC-SLP (FOUNDER/SPEECH LANGUAGE PATHOLOGIST)
(516) 508-2751
Entity
Organization
Contact information
Practice address
2539 MARTIN AVE, BELLMORE, NY 11710-3128
(516) 415-2751
Mailing address
2539 MARTIN AVE, BELLMORE, NY 11710-3128
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
019969
NY
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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