Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angel Deruvo, MA Ccc SLP PLLC

Organization Speech-Language Pathologist · NPI 1700235504

Angel Deruvo, MA Ccc SLP PLLC is a Speech-Language Pathologist in Staten Island, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

47 Cedar Ter Staten Is
Staten Island, NY 10304-1701
Phone: (917) 273-1448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1700235504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Deruvo — Speech Language Pathologist · (917) 273-1448
NPI enumeratedJune 13, 2016
Last updated in NPPESJune 13, 2016
Mailing address47 Cedar Ter, Staten Island, Staten Island, NY 10304-1701

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