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NPI Code Detail

MEDICARE: VICTORIA LYNN PINELLI M.A. CCC-SLP, TSSLD

MEDICARE:   VICTORIA LYNN PINELLI  M.A. CCC-SLP, TSSLD
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 Pathologist033378-01NY

General Provider Information

NPI Number : 1972382646
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LYNN PINELLI M.A. CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 75 CARLIN DR
Second Line :
City : MASTIC
State : NY
Zip : 11950-1112
Country : US
Telephone Number : 631-578-9907
Fax Number :
Provider Business Practice Location Address
First Line : 207 HALLOCK RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-3033
Country : US
Telephone Number : 631-909-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2023
Last Update Date : 01/25/2026

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Directions to “ VICTORIA LYNN PINELLI M.A. CCC-SLP, TSSLD” Practice Location

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