MS. Leisset Costanzo, MA CCC SLP
NPI #1508152877 in Richmond Hill, New York
Provider Information
- NPI Number
- 1508152877
- Entity Type
- Individual
- Name
- MS. Leisset Costanzo, MA CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC SLP
- Enumeration Date
- Jun 24, 2011
- Last Updated
- Jan 20, 2017
Practice Location
- Address
- 8602 127TH ST
- City
- Richmond Hill
- State
- New York
- ZIP Code
- 11418-2629
- Phone
- (718) 849-0962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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