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1790034692
PATRICIA ANN PONTICELLI
MASSAPEQUA, NY
NPI
1790034692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 017728-1)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
Mrs. PATRICIA ANN PONTICELLI CCC-SLP
4925 MERRICK RD
MASSAPEQUA, NY 11758-6201
Phone number: 516-308-5000
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Mailing Address
Mrs. PATRICIA ANN PONTICELLI CCC-SLP
15 MUSKET DR
HOLBROOK, NY 11741-5209
Phone number: 516-617-0883
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