ERIC OLSEN-TANK

FOREST HILLS, NY
NPI1053665331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
Enumeration Date2012-11-07
Last Update Date2012-11-07
Business Address
ERIC OLSEN-TANK
7272 112TH ST
FOREST HILLS, NY 11375-5561
Phone number: 631-987-7262
Mailing Address
ERIC OLSEN-TANK
7272 112TH ST
FOREST HILLS, NY 11375-5561
Phone number: