Gemma Roberta Formicola
NPI #1043028665 in Hicksville, New York
Provider Information
- NPI Number
- 1043028665
- Entity Type
- Individual
- Name
- Gemma Roberta Formicola
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 28, 2024
- Last Updated
- Dec 28, 2024
Practice Location
- Address
- 400 S OYSTER BAY RD STE 102
- City
- Hicksville
- State
- New York
- ZIP Code
- 11801-3500
- Phone
- (631) 240-3579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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