Petraco, Michelle

Petraco, Michelle is an individual health care provider with primary practice located at 600 Townline Rd , Hauppauge NY 11788-2837. 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. Petraco, Michelle can be contacted via phone (631) 761-8230.

Contact Information

Primary practice address
600 Townline Rd Hauppauge NY 11788-2837
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0157361 New York

Profile Details

NPI number 1427196831
LBN Legal business name Petraco, Michelle
Credentials M.S.,CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Oct 26th, 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.

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