Individual
CASSANDRA COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
111-12 ASTORIA BLVD, FLUSHING, NY 11369
(332) 262-2880
Mailing address
111-12 ASTORIA BLVD, FLUSHING, NY 11369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031903
NY
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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