NPI 1588007942

Ariz P Fuentez, Speech-Language Pathologist, PC

Organisation Early Intervention Provider Agency Islandia, NY

Practice location

Address: 66 Scotchpine Dr, Islandia, NY 11749-1605
Phone: (631) 439-0595

Authorised official

Name: Ariz Peter Fuentez
Title: President / Slp
Phone: (631) 439-0595

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 019561-1 (NY)

Other Early Intervention Provider Agency providers in New York →

Registry record

NPI: 1588007942
Entity type: Organization
NPI issued: 16 Apr 2013
Record last updated: 16 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.