Organization
BRIDGES SPEECH LANGUAGE PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GIACO CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(405) 593-0414
Entity
Organization
Contact information
Practice address
309 GOLD ST APT 12A, BROOKLYN, NY 11201-1280
(405) 593-0414
Mailing address
309 GOLD ST APT 12A, BROOKLYN, NY 11201-1280
(405) 593-0414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05804384
—
NY
Enumeration date
02/22/2022
Last updated
09/14/2022
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