Individual
MISS CELINES MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-0388
(516) 565-2782
Mailing address
2001 STORY AVE APT 7C, BRONX, NY 10473-2026
(646) 286-2771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018372-1
NY
Other
Enumeration date
11/12/2008
Last updated
02/07/2010
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