Most Relevant Information
Provider Data
| NPI Number: | 1003060914 |
| Provider Name: | MARIA CONDELLO MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 014186 |
Most Important Dates
| Enumeration Date: | 11/05/2008 |
| Last Updated: | 07/13/2020 |
Provider Practice Location
34 LAHEY ST
NEW HYDE PARK
NY
110401717
Practice Location Phone/Fax
| Phone: | 5166986564 |
| Fax: |
Provider Mailing Location
34 LAHEY ST
NEW HYDE PARK
NY
110401717
Provider Mailing Phone/Fax
| Phone: | 5166986564 |
| Fax: |