EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC
Agencies at Silas Woods Rd, Manorville, NY

License number
New York 008637-1
Category
Speech Language Pathology
Type
Speech-Language Pathologist
License number
New York 008637-1
Category
Agencies
Type
Early Intervention Provider Agency
Owner
Name: MS. THERESA BLANGIFORTI M.S. CCC-SLP
Title: DIRECTOR
Phone: (631) 871-6492
Address
Address
47 Silas Woods Rd, Manorville, NY 11949
National Provider ID: 1497072219
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC

47 Silas Wood Rd, Manorville, NY 11949

Registration:
Apr 9, 2008
State ID:
3656432
Business type:
Domestic Professional Corporation
Theresa Blangiftori, 47 Silas Wood Rd, Manorville, NY 11949 (Physical)

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