Individual
BIANCA CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 47TH AVE STE 2120, LONG ISLAND CITY, NY 11101-3010
(718) 593-4121
Mailing address
3100 47TH AVE STE 2120, LONG ISLAND CITY, NY 11101-3010
(917) 734-4589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
05/16/2019
Last updated
05/29/2019
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