JACQUELINE GANNON

STATEN ISLAND, NY
NPI1568134799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
JACQUELINE GANNON CF
3767 RICHMOND AVE
STATEN ISLAND, NY 10312-3827
Phone number: 718-967-0359
Mailing Address
JACQUELINE GANNON CF
20 VERNON AVE
STATEN ISLAND, NY 10309-2338
Phone number: 917-599-8524