Individual
MRS. ADELE R. FABBRICINI-VITALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
11 21ST ST, JERICHO, NY 11753-2507
(516) 938-0773
Mailing address
11 21ST ST, JERICHO, NY 11753-2507
(516) 938-0773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012369-1
NY
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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