Provider Demographics
NPI:1316668064
Name:ANZALONE, ANNAMARIA (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:
Last Name:ANZALONE
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15215 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1935
Mailing Address - Country:US
Mailing Address - Phone:927-379-4829
Mailing Address - Fax:
Practice Address - Street 1:2310 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-1117
Practice Address - Country:US
Practice Address - Phone:718-421-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032253235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist