Healthcare Provider Details

I. General information

NPI: 1063344364
Provider Name (Legal Business Name): GABRIELLA ANDREA PRAIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 CONEY ISLAND AVE FL 2
BROOKLYN NY
11218-4379
US

IV. Provider business mailing address

1651 CONEY ISLAND AVE STE 2
BROOKLYN NY
11230-5856
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-1415
  • Fax:
Mailing address:
  • Phone: 718-998-1415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: