Provider Demographics
NPI:1073860813
Name:BRIDGES TO TOMORROW, SPEECH LANGUAGE PATHOLOGY, PLLC
Entity Type:Organization
Organization Name:BRIDGES TO TOMORROW, SPEECH LANGUAGE PATHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIAMBONE
Authorized Official - Suffix:
Authorized Official - Credentials:MA/CCC/SLP
Authorized Official - Phone:631-525-7514
Mailing Address - Street 1:88 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3811
Mailing Address - Country:US
Mailing Address - Phone:631-525-7514
Mailing Address - Fax:
Practice Address - Street 1:88 TERRY RD
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3811
Practice Address - Country:US
Practice Address - Phone:631-525-7514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech