Organization
ANGEL DERUVO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL DERUVO SLP (OWNER)
(917) 273-1448
Entity
Organization
Contact information
Practice address
47 CEDAR TER, STATEN ISLAND, NY 10304-1701
(917) 273-1448
(718) 442-7641
Mailing address
47 CEDAR TER, STATEN ISLAND, NY 10304-1701
(917) 273-1448
(718) 442-7641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8751388
NY
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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