Individual
MRS. ANGELA SEMENTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
380 OLD TOWN RD, SETAUKET, NY 11733-3482
(631) 730-4900
Mailing address
45 TALLMADGE TRL, MILLER PLACE, NY 11764-2327
(631) 828-1750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-2116435
—
NY
Enumeration date
12/14/2011
Last updated
12/14/2011
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