Provider Demographics
NPI:1043568165
Name:FOLCHETTI-BITET, ANGELA GRACE (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:GRACE
Last Name:FOLCHETTI-BITET
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15804 80TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2913
Mailing Address - Country:US
Mailing Address - Phone:718-781-2051
Mailing Address - Fax:
Practice Address - Street 1:15823 78TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2902
Practice Address - Country:US
Practice Address - Phone:718-781-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1355404235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist