Individual
ROBERT B MYTELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 CHESTNUT RIDGE RD UNIT 223, CHESTNUT RIDGE, NY 10977-6443
(845) 517-5060
Mailing address
750 CHESTNUT RIDGE RD UNIT 223, CHESTNUT RIDGE, NY 10977-6443
(845) 558-7573
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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