Individual
MRS. BRIENNE ELIZABETH AIEZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
5 BRADHURST AVE, HAWTHORNE, NY 10532-2135
(914) 592-8526
Mailing address
5 BRADHURST AVE, HAWTHORNE, NY 10532-2135
(914) 592-8526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1-018335
NY
Other
Enumeration date
10/23/2008
Last updated
12/02/2016
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