GEMMA ROBERTA FORMICOLA

HICKSVILLE, NY
NPI1043028665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
Enumeration Date2024-12-28
Last Update Date2024-12-28
Business Address
GEMMA ROBERTA FORMICOLA
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801-3500
Phone number: 631-240-3579
Mailing Address
GEMMA ROBERTA FORMICOLA
3 CROSSON AVE
BAYVILLE, NY 11709-2912
Phone number: 516-567-6822