Individual
ANDREA NICOLOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 BURR RD, COMMACK, NY 11725-1810
(631) 858-3636
Mailing address
202 BURR RD, COMMACK, NY 11725-1810
(631) 858-3636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014050
NY
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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