Individual
MRS. ANNA MARIA MIRIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP/TSLD
Contact information
Practice address
2391 BELL BLVD, SUITE 205, BAYSIDE, NY 11360-2000
(718) 943-6202
(718) 943-6204
Mailing address
2391 BELL BLVD, SUITE 205, BAYSIDE, NY 11360-2000
(718) 943-6202
(718) 943-6204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015773-1
NY
Other
Enumeration date
11/26/2008
Last updated
11/06/2013
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