Individual
MR. ANDREW EMILE PANCILA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP, CBIS
Contact information
Practice address
21 BOND ST APT 3G, GREAT NECK, NY 11021-2029
(516) 849-4035
Mailing address
21 BOND ST APT 3G, GREAT NECK, NY 11021-2029
(516) 849-4035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027342
NY
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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