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Speech-Language Pathologist · Commack, NY

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At a glance

50 Ramita Ln, Commack, NY 11725-1918

NPPES record updated Mar 11, 2012. Public records can lag behind changes at a practice.

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Practice location

50 Ramita Ln
Commack, NY 11725-1918
Professional details: NPI, taxonomy & registry record
NPI1154696094
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Mar 11, 2012
Record updated
Mar 11, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License reported: 012301 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

50 Ramita Ln
Commack, NY 11725-1918
Phone
(631) 952-6697
Mailing address
50 RAMITA LN

COMMACK, NY 117251918
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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