Organization
ANGEL DERUVO, MA CCC SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGEL DERUVO MA CCC SLP (SPEECH LANGUAGE PATHOLOGIST)
(917) 273-1448
Entity
Organization
Contact information
Practice address
47 CEDAR TER, STATEN ISLAND, STATEN ISLAND, NY 10304-1701
(917) 273-1448
Mailing address
47 CEDAR TER, STATEN ISLAND, STATEN ISLAND, NY 10304-1701
(917) 273-1448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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