SUSAN ANN ELLENIS

EAST NORTHPORT, NY
NPI1609146588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  4719)
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
Mrs. SUSAN ANN ELLENIS M.S.
25 BRIAN LN
EAST NORTHPORT, NY 11731-3810
Phone number: 631-486-1079
Mailing Address
Mrs. SUSAN ANN ELLENIS M.S.
25 BRIAN LN
EAST NORTHPORT, NY 11731-3810
Phone number: 631-486-1079
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