Individual
BREYANNA MUCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
869 CYPRESS AVE, RIDGEWOOD, NY 11385-4724
(718) 456-7588
Mailing address
165 FREDERICK AVE, FLORAL PARK, NY 11001-3512
(631) 294-3996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034044
NY
Other
Enumeration date
01/15/2020
Last updated
07/16/2024
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