Individual
ANN L KAZAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 LONGWOOD RD, BOX 12, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Mailing address
47 TERRY RD, PATCHOGUE, NY 11772-1750
(631) 758-4750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0072541
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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