Provider Demographics
NPI:1982431458
Name:MANISCALCO, GABRIELLA NICOLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:NICOLE
Last Name:MANISCALCO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2307
Mailing Address - Country:US
Mailing Address - Phone:914-522-8650
Mailing Address - Fax:
Practice Address - Street 1:534 ROUTE 6
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-4746
Practice Address - Country:US
Practice Address - Phone:845-621-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034226235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist