Individual
MRS. ANGELA COSTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
172 FRAME ST, FRANKLIN SQUARE, NY 11010-4210
(917) 576-7710
Mailing address
172 FRAME ST, FRANKLIN SQUARE, NY 11010-4210
(917) 576-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015062-1
NY
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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