Individual
CARMELA GRANATA BERNACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
129A HILLSIDE AVE, WILLISTON PARK, NY 11596-2305
(516) 742-5243
Mailing address
129A HILLSIDE AVE, WILLISTON PARK, NY 11596-2305
(516) 742-5243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2869
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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