Individual
ANDREA SUE FALGOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 COUNTRY CLUB DR, JERICHO, NY 11753-2816
(516) 495-4874
Mailing address
127 COUNTRY CLUB DR, JERICHO, NY 11753-2816
(516) 495-4874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004565-1
NY
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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