Most Relevant Information
Provider Data
| NPI Number: | 1003366956 |
| Provider Name: | NICOLE RUGGIRELLO |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2016 |
| Last Updated: | 04/28/2022 |
Provider Practice Location
104 EVERTON PLACE
STATEN ISLAND
NY
103126801
Practice Location Phone/Fax
| Phone: | 7188779261 |
| Fax: |
Provider Mailing Location
43 PRINCETON RD
PARLIN
NJ
088591262
Provider Mailing Phone/Fax
| Phone: | 7188779261 |
| Fax: |