Most Relevant Information
Provider Data
| NPI Number: | 1003641150 |
| Provider Name: | ELIZABETH TAI WAKHALE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2024 |
| Last Updated: | 09/06/2024 |
Provider Practice Location
7 HIGH ST STE 301
HUNTINGTON
NY
117433417
Practice Location Phone/Fax
| Phone: | 6314237700 |
| Fax: |
Provider Mailing Location
19 BLAIR DR
HUNTINGTON
NY
117432465
Provider Mailing Phone/Fax
| Phone: | 6316267722 |
| Fax: |