Individual
ANNEMARIE DELLAVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 RENSSELAER AVE, STATEN ISLAND, NY 10309-2116
(917) 439-2985
Mailing address
1087 RENSSELAER AVE, STATEN ISLAND, NY 10309-2116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
719140
NY
235Z00000X
Speech-Language Pathologist
Primary
024752
NY
235Z00000X
Speech-Language Pathologist
TL-2367
NJ
Other
Enumeration date
08/06/2012
Last updated
11/21/2015
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