Provider Demographics
NPI:1285347625
Name:PUGLIA, GABRIELLE CHRISTINE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:CHRISTINE
Last Name:PUGLIA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MRS
Other - First Name:GABRIELLE
Other - Middle Name:CHRISTINE
Other - Last Name:PUGLIA-PESCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1649 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1541
Mailing Address - Country:US
Mailing Address - Phone:917-685-2988
Mailing Address - Fax:
Practice Address - Street 1:8301 SHORE RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-4299
Practice Address - Country:US
Practice Address - Phone:718-748-1537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032426235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist