Mr. Atanasio Gaetano Fava, MS, CCC-SLP
Mr. Atanasio Gaetano Fava, MS, CCC-SLP is a Speech-Language Pathologist in New York, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
What do these letters mean?
Practice location Address checks out
622 W 168th St Vc 10 Area DNew York, NY 10032-3720
Phone: (212) 342-1627
Fax: (212) 342-2112
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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 · Licence 018715 (NY) |
|---|
Record details
| NPI number | 1861665929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , CCC-SLP |
| Sole proprietor | No |
| NPI enumerated | April 10, 2008 |
| Last updated in NPPES | October 19, 2012 |
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