GEORGE KENNETH MAHER

RONKONKOMA, NY
NPI1528104502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  008746-1)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
Mr. GEORGE KENNETH MAHER
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number: 631-580-4016
Mailing Address
Mr. GEORGE KENNETH MAHER
47 FLINTRIDGE DR
HOLBROOK, NY 11741-2805
Phone number: 631-472-2423