Healthcare Provider Details

I. General information

NPI: 1285550111
Provider Name (Legal Business Name): MS. ANNALEE FRANCES KALIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 FOREST AVE
STATEN ISLAND NY
10301-2638
US

IV. Provider business mailing address

57 MARION AVE TOMPKINSVILLE
STATEN ISLAND NY
10304-2113
US

V. Phone/Fax

Practice location:
  • Phone: 718-979-5678
  • Fax:
Mailing address:
  • Phone: 718-887-1180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: