Most Relevant Information
Provider Data
| NPI Number: | 1003197815 |
| Provider Name: | AUDREY KING |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 00528-1 |
Most Important Dates
| Enumeration Date: | 09/07/2011 |
| Last Updated: | 09/07/2011 |
Provider Practice Location
173 LAKE HILL RD
BURNT HILLS
NY
120279405
Practice Location Phone/Fax
| Phone: | 5183999141 |
| Fax: |
Provider Mailing Location
27 COUNTRY FAIR LN
GLENVILLE
NY
123023711
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |