Individual
MR. CARMINE ANTHONY LACERTOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CF-SLP, TSSLD
Contact information
Practice address
1860 FOREST AVE, STATEN ISLAND, NY 10303-2128
(718) 442-2219
Mailing address
643 HUGUENOT AVE, STATEN ISLAND, NY 10312-2621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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