Individual
BONNA GITTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2 ROOSEVELT AVE, SYOSSET, NY 11791-3064
(516) 496-4460
Mailing address
118 CARAMEL RD, COMMACK, NY 11725-1022
(917) 673-5543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006724
NY
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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