Individual
BRYNN ALEXI BATIANCELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 WINDOM AVE, STATEN ISLAND, NY 10305-4719
(917) 613-3455
Mailing address
27 WINDOM AVE, STATEN ISLAND, NY 10305-4719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034245-01
NY
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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