Individual
MS. ANDREA MORMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
144 KEATING PL, STATEN ISLAND, NY 10314-6145
(718) 698-6661
Mailing address
50 LYLE CT, STATEN ISLAND, NY 10306-1142
(516) 582-8823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017138
NY
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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