Individual
BRIANNA ROSE FONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
336 BLANCO DR, MASTIC BEACH, NY 11951-1021
(631) 874-1342
Mailing address
PO BOX 789, CALVERTON, NY 11933-0789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
10/04/2021
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