North Fork Speech-Language Pathology

NPI #1699172544 in Southold, New York

Provider Information

NPI Number
1699172544
Entity Type
Organization
Organization Name
North Fork Speech-Language Pathology
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Nov 20, 2014
Last Updated
Mar 30, 2015

Practice Location

Address
600 GAGENS LANDING RD
ZIP Code
11971-1973
Phone
(410) 241-5668

Authorized Official

Name
JULIE CHARCZUK, MS, CCC-SLP
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(410) 241-5668

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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