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Contact Information

ANGELA M FAZZOLARI, SLP, CCC
850 MAMARONECK AVE
MAMARONECK, NY10543-1934
 Phone: 914-220-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ANGELA M FAZZOLARI · (Female)

NPI Number 1548577356
Status Active
Credentials SLP, CCC
Entity Individual
Enumeration date 09/01/2010
Last updated 09/27/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017457
  • NY Medicaid 01395326
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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