Gemma Roberta Formicola
Gemma Roberta Formicola is a Speech-Language Pathologist in Hicksville, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
400 S Oyster Bay Rd Ste 102Hicksville, NY 11801-3500
Phone: (631) 240-3579
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1043028665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 28, 2024 |
| Last updated in NPPES | December 28, 2024 |
| Certification date | December 28, 2024 |
| Mailing address | 3 Crosson Ave, Bayville, NY 11709-2912 |
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