Individual
MRS. ANTONELLA PORCASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/TSLD
Contact information
Practice address
5346 69TH ST, MASPETH, NY 11378-1728
(646) 423-0980
Mailing address
5346 69TH ST, MASPETH, NY 11378-1728
(646) 423-0980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021527
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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