# STILLO SPEECH-LANGUAGE SERVICES P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780966986
- **Authorized official:** JOELIA DESIREE CASTILLO M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (786) 382-4729

## Contact information

- **Practice address:** 618 W 177TH ST, 5D, NEW YORK, NY 10033-7110
- **Practice address phone:** (786) 382-4729
- **Mailing address:** 618 W 177TH ST, 5D, NEW YORK, NY 10033-7110
- **Mailing address phone:** (786) 382-4729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019113 | NY | Yes |
| 314000000X | Skilled Nursing Facility | 019113 | NY | — |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 09/13/2011
