Individual
BRIANNA R BORRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
71 LYELL AVE, SPENCERPORT, NY 14559-1899
(585) 349-5455
Mailing address
71 LYELL AVE, SPENCERPORT, NY 14559-1899
(585) 349-5455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016307-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-0213081
TAX ID
NY
05
—
30-0213081
—
NY
Enumeration date
10/05/2006
Last updated
10/15/2018
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