Individual
ADRIANA LIA VACANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
641 OLD RT 17, HARRIS, NY 12742
(845) 794-1400
Mailing address
PO BOX 840, HARRIS, NY 12742-0840
(845) 707-1400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033285
NY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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