ATANASIO GAETANO FAVA

NEW YORK, NY
NPI1861665929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  018715)
Enumeration Date2008-04-10
Last Update Date2012-10-19
Business Address
Mr. ATANASIO GAETANO FAVA M.S., CCC-SLP
622 W 168TH ST VC 10 AREA D
NEW YORK, NY 10032-3720
Phone number: 212-342-1627
Mailing Address
Mr. ATANASIO GAETANO FAVA M.S., CCC-SLP
622 W 168TH ST VC 10, RM 1001
NEW YORK, NY 10032-3720
Phone number: 212-342-1627
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