Most Relevant Information
Provider Data
NPI Number: | 1003561994 |
Provider Name: | STEPHANIE YANDOW |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: |
Most Important Dates
Enumeration Date: | 02/18/2022 |
Last Updated: | 02/18/2022 |
Provider Practice Location
121 E 30TH ST
NEW YORK
NY
100167302
Practice Location Phone/Fax
Phone: | 2126794319 |
Fax: |
Provider Mailing Location
276 LEXINGTON RD
GLASTONBURY
CT
060334342
Provider Mailing Phone/Fax
Phone: | 8608781732 |
Fax: |