EMILY PROVENZANO
Speech Language Pathology at Richmond Ave, Staten Island, NY

License number
New York 1816016
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Address
Address
1535 Richmond Ave, Staten Island, NY 10314
Phone
(718) 556-1616
National Provider ID: 1104105683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Emily Provenzano
63 Durant Ave, Staten Island, NY 10306

Organization information

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Emily Provenzano

418 Robinson Ave, Staten Island, NY 10312

Industry:
Nonclassifiable Establishments

Professional information

Emily Provenzano Photo 1

Emily Provenzano, Staten Island NY
Specialties:
Speech-Language Pathology
Address:
1535 Richmond Ave, Staten Island 10314
(718) 556-1616 (Phone)
Languages:
English

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