Organization
STILLO SPEECH-LANGUAGE SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELIA DESIREE CASTILLO M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(786) 382-4729
Entity
Organization
Contact information
Practice address
618 W 177TH ST, 5D, NEW YORK, NY 10033-7110
(786) 382-4729
Mailing address
618 W 177TH ST, 5D, NEW YORK, NY 10033-7110
(786) 382-4729
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019113
NY
314000000X
Skilled Nursing Facility
019113
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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