Individual
MRS. CHERYL ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SP, LSLP
Contact information
Practice address
2 WILLIAM PENN DR, STONY BROOK, NY 11790-1318
(631) 689-5737
Mailing address
2 WILLIAM PENN DR, STONY BROOK, NY 11790-1318
(631) 689-5737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005850-1
NY
Other
Enumeration date
02/11/2007
Last updated
07/20/2009
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