Individual
BERENICE ALTAGRACIA NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 ELM ST, COPIAGUE, NY 11726-2702
(631) 464-8929
Mailing address
20 ELM ST, COPIAGUE, NY 11726-2702
(631) 464-8929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
235Z00000X
Speech-Language Pathologist
Primary
035616
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2024
Last updated
07/07/2025
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