Individual
BRIANNA NOELLE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, TSSLD
Contact information
Practice address
15 BEACH ST, STATEN ISLAND, NY 10304-2713
(718) 816-1422
Mailing address
668 RENSSELAER AVE, STATEN ISLAND, NY 10312-2646
(347) 525-5621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033352
NY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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