GINA M. OLIVA

LAKE RONKONKOMA, NY
NPI1568768372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  14027571)
Enumeration Date2011-01-27
Last Update Date2011-01-27
Business Address
-- GINA M. OLIVA S.L.P.
367 SMITH RD
LAKE RONKONKOMA, NY 11779-2206
Phone number: 631-831-1028
Mailing Address
-- GINA M. OLIVA S.L.P.
367 SMITH RD
LAKE RONKONKOMA, NY 11779-2206
Phone number: 631-831-1028