Individual
LAYA GITTEL CUSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MANDARIN CT, LAKEWOOD, NJ 08701-3906
(718) 614-5877
Mailing address
2 MANDARIN CT, LAKEWOOD, NJ 08701-3906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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