Individual
ANTONELLA INGRAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
893 RENSSELAER AVE, STATEN ISLAND, NY 10309-2312
(718) 483-6225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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