Most Relevant Information
Provider Data
| NPI Number: | 1003453143 |
| Provider Name: | ANDREA CORONEL |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2019 |
| Last Updated: | 12/09/2019 |
Provider Practice Location
856 BRYANT ST
WOODMERE
NY
115982540
Practice Location Phone/Fax
| Phone: | 5167708233 |
| Fax: |
Provider Mailing Location
856 BRYANT ST
WOODMERE
NY
115982540
Provider Mailing Phone/Fax
| Phone: | 5167708233 |
| Fax: |