Gomez, Kristin L

Gomez, Kristin L is an individual health care provider with primary practice located at 75 W Perkal St , Bay Shore NY 11706-6642. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gomez, Kristin L can be contacted via phone (631) 968-1232.

Contact Information

Primary practice address
75 W Perkal St Bay Shore NY 11706-6642
Phone: (631) 968-1232
Fax: (631) 968-1281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 020175 New York

Profile Details

NPI number 1164799680
LBN Legal business name Gomez, Kristin L
Credentials M.S. SLP-CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Jun 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164799680 NPPES
New York Other 020175 NEW YORK STATE SPEECH PATHOLOGIST LICENSE

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