Organization
DEPARTMENT OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BIANCA CUCULLO M.S SLP-CCC (SPEECH AND LANGUAGE PATHOLOGIST)
(718) 792-9831
Entity
Organization
Contact information
Practice address
937 VINCENT AVE, BRONX, NY 10465-1619
(718) 792-9831
Mailing address
937 VINCENT AVE, BRONX, NY 10465-1619
(718) 792-9831
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
024883
NY
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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