Fazzolari, Angela M
Fazzolari, Angela M is an sole proprietor health care provider with primary practice located at 850 Mamaroneck Ave , Mamaroneck NY 10543-1934. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fazzolari, Angela M can be contacted via phone (914) 220-3600.Contact Information
Primary practice address
850 Mamaroneck Ave
Mamaroneck NY 10543-1934
Phone: (914) 220-3600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 017457 | New York |
Profile Details
NPI number | 1548577356 |
---|---|
LBN Legal business name | Fazzolari, Angela M |
Credentials | SLP, CCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 1st, 2010 |
Last updated | Sep 27th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548577356 | NPPES |
New York | MEDICAID | 01395326 |
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