Takhalov, Marina

Takhalov, Marina is an individual health care provider with primary practice located at 200 Belle Terre Rd , Port Jefferson NY 11777-1928. 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. Takhalov, Marina can be contacted via phone (631) 474-6111.

Contact Information

Primary practice address
200 Belle Terre Rd Port Jefferson NY 11777-1928
Phone: (631) 474-6111
Fax: (631) 474-6861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 017417 New York

Profile Details

NPI number 1275784761
LBN Legal business name Takhalov, Marina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 2nd, 2008 - about 18 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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