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Individual

MRS. ANGELA M. ESTRELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
151 E 67TH ST, NEW YORK, NY 10065-5964
(212) 988-9500
Mailing address
23 OLD MAMARONECK RD, APT. 3-0, WHITE PLAINS, NY 10605-2061
(914) 682-4227

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0079141
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009714-1
NEW YORK STATE EDUCATION DEPARTMENT PROFESSIONAL LICENSE
NY
Enumeration date
04/09/2009
Last updated
04/09/2009
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