Individual
MRS. ANTONIA IAVARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15 LUCILLE DR, SYOSSET, NY 11791-3725
(516) 816-6383
Mailing address
3 ERICK CT, COLD SPRING HARBOR, NY 11724-1915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026975
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
09/16/2019
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