Ann E. Gordon Ma Speech-language Pathologist Pc

NPI 1114159464 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1114159464
Enumeration Date 08/20/2009
Last Updated 08/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ANN E. ANN
Position PRESIDENT
Phone (631) 751-3838
Fax (631) 751-3767
Practice Location
207 HALLOCK RD
SUITE 6
STONY BROOK NY, 11790-3033, US
Phone (631) 751-3838
Fax (631) 751-3767
Business Location
17 MILLS LN
EAST SETAUKET NY, 11733-3805, US
Phone (631) 751-3838
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 000469
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According to our database, Ann E. Gordon Ma Speech-language Pathologist Pc NPI is 1114159464, taxonomy code is 235Z00000X and license number is 000469, license state is located at New York. Ann E. Gordon Ma Speech-language Pathologist Pc physically located at 207 Hallock Rd, Stony Brook NY, 11790-3033. NPI Number 1033115704 has the healthcare provider type.

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1114159464 NPI number is provided on an as is basis without warranty of any kind. 1114159464 is maintained by the National Plan & Provider Enumeration System. The contents of Ann E. Gordon Ma Speech-language Pathologist Pc are for informational purposes only.