Individual
MRS. ANDREA BRACCIANTE ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SP, CCC-SLP
Contact information
Practice address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
(845) 343-0801
Mailing address
5 GARNET HILL, CHESTER, NY 10918
(845) 774-7870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010061-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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