Evelyn C Custodio

NPI #1740678564 in Ridgewood, New York

Provider Information

NPI Number
1740678564
Entity Type
Individual
Name
Evelyn C Custodio
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Dec 31, 2014
Last Updated
Dec 31, 2014

Practice Location

Address
1915 HARMAN ST APT B
ZIP Code
11385-1930
Phone
(347) 658-3858

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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