Tania Marie Polanco MA, CCC/SLP

NPI 1225281025 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1225281025
Gender Female
Enumeration Date 10/24/2008
Last Updated 10/07/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
140 SAINT MARKS PL
MASSAPEQUA NY, 11758-6420, US
Phone (917) 622-2849
Fax
Business Location
140 SAINT MARKS PL
MASSAPEQUA NY, 11758-6420, US
Phone (917) 622-2849
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 016791
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According to our database, Mrs. Tania Marie Polanco MA, CCC/SLP NPI is 1225281025, taxonomy code is 235Z00000X and license number is 016791, license state is located at New York. Tania Marie Polanco MA, CCC/SLP physically located at 140 Saint Marks Pl, Massapequa NY, 11758-6420. NPI Number Tania Marie Polanco MA, CCC/SLP has the Individual type.

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1225281025 NPI number is provided on an as is basis without warranty of any kind. 1225281025 is maintained by the National Plan & Provider Enumeration System. The contents of Tania Marie Polanco MA, CCC/SLP are for informational purposes only.