Individual
MRS. AGNES ZORAIDA CANIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3140B EAST TREMONT AVE., BRONX, NY 10461-5706
(718) 239-4147
(718) 239-4310
Mailing address
18 SPRUCE ST, ORANGEBURG, NY 10962-1304
(917) 553-2798
(845) 613-7372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009802
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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