JORGE LUIS VEGA FLORES

MELVILLE, NY
NPI1942585757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  021427)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
-- JORGE LUIS VEGA FLORES
538 BROADHOLLOW ROAD SUITE 202
MELVILLE, NY 11747
Phone number: 631-385-7780
Mailing Address
-- JORGE LUIS VEGA FLORES
440 OLD NICHOLS ROAD
HAUPPAUGE, NY 11788-5013
Phone number: 631-220-0704
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