Most Relevant Information
Provider Data
| NPI Number: | 1003198219 |
| Provider Name: | LAUREN STACY MADOFF M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 021327-1 |
Most Important Dates
| Enumeration Date: | 09/13/2011 |
| Last Updated: | 09/13/2011 |
Provider Practice Location
23 MOHEGAN LN
COMMACK
NY
117254214
Practice Location Phone/Fax
| Phone: | 6319740050 |
| Fax: |
Provider Mailing Location
23 MOHEGAN LN
COMMACK
NY
117254214
Provider Mailing Phone/Fax
| Phone: | 6319740050 |
| Fax: |