Manorville Speech Pathology, PC
NPI #1942443213 in Wading River, New York
Provider Information
- NPI Number
- 1942443213
- Entity Type
- Organization
- Organization Name
- Manorville Speech Pathology, PC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Apr 15, 2009
- Last Updated
- Jul 10, 2014
Practice Location
- Address
- 6144 ROUTE 25A
- Address 2
- SUITE 9B
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-2018
- Phone
- (631) 325-7755
Authorized Official
- Name
- MRS. CHERYL A RONDINELLA
- Title
- SPEECH PATHOLOGIST, DIRECTOR
- Phone
- (631) 325-7755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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