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Organization

ANNA MIRIELLO SLP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA MIRIELLO M.S., CCC-SLP (DIRECTOR)
(718) 943-6202
Entity
Organization

Contact information

Practice address
2391 BELL BLVD, SUITE 205, BAYSIDE, NY 11360-2000
(718) 943-6202
(718) 943-6204
Mailing address
2391 BELL BLVD, SUITE 205, BAYSIDE, NY 11360-2000
(718) 943-6202
(718) 943-6204

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015773-1
NY

Other

Enumeration date
02/01/2013
Last updated
11/06/2013
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