Individual
MR. MICHAEL RICHARD CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TSHH
Contact information
Practice address
1863 STUART ST, BROOKLYN, NY 11229-2633
(718) 360-6233
Mailing address
1863 STUART ST, BROOKLYN, NY 11229-2633
(718) 339-0934
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
763469
NY
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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