Tracy Lynn Massaro M.S. S.L.P. T.S.L.D.

NPI 1033406863 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1033406863
Gender Female
Enumeration Date 06/30/2011
Last Updated 06/30/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1767 VETERANS HWY STE 22
ISLANDIA NY, 11749-1536, US
Phone (631) 851-9486
Fax (631) 851-9487
Business Location
923 N ERIE AVE
LINDENHURST NY, 11757-2116, US
Phone (631) 748-6992
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 021063-1
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According to our database, Miss Tracy Lynn Massaro M.S. S.L.P. T.S.L.D. NPI is 1033406863, taxonomy code is 235Z00000X and license number is 021063-1, license state is located at New York. Tracy Lynn Massaro M.S. S.L.P. T.S.L.D. physically located at 1767 Veterans Hwy Ste 22, Islandia NY, 11749-1536. NPI Number Tracy Lynn Massaro M.S. S.L.P. T.S.L.D. has the Individual type.

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1033406863 NPI number is provided on an as is basis without warranty of any kind. 1033406863 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Lynn Massaro M.S. S.L.P. T.S.L.D. are for informational purposes only.