Most Relevant Information
Provider Data
| NPI Number: | 1003402793 |
| Provider Name: | MARIANNE RUHROLD |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/16/2020 |
| Last Updated: | 12/16/2020 |
Provider Practice Location
624 HAWKINS AVE
RONKONKOMA
NY
117792375
Practice Location Phone/Fax
| Phone: | 6312403579 |
| Fax: |
Provider Mailing Location
280 BELMORE AVE APT 142
EAST ISLIP
NY
117301323
Provider Mailing Phone/Fax
| Phone: | 6318975584 |
| Fax: |