Organization
SHARON JOLLY AUDIOLOGY & SPEECH LANGUAGE PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A JOLLY MA CCC/SLP (OWNER)
(845) 928-2579
Entity
Organization
Contact information
Practice address
450 GIDNEY AVE, SUITE 201, NEWBURGH, NY 12550-3116
(845) 928-2579
Mailing address
PO BOX 368, CENTRAL VALLEY, NY 10917-0368
(845) 928-2579
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000043-1
NY
235Z00000X
Speech-Language Pathologist
003002-1
NY
Other
Enumeration date
05/26/2009
Last updated
11/26/2013
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