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NPI Code Detail

MEDICARE: ANGELA LOUISE AVELLINO

MEDICARE:   ANGELA LOUISE AVELLINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1649165846
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA LOUISE AVELLINO
Provider Business Mailing Address
First Line : 5817 80TH ST
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-5317
Country : US
Telephone Number : 347-415-7932
Fax Number :
Provider Business Practice Location Address
First Line : 5817 80TH ST
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-5317
Country : US
Telephone Number : 347-415-7932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/10/2025

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Directions to “ ANGELA LOUISE AVELLINO ” Practice Location

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