Provider Demographics
NPI:1083179873
Name:STANO, ANGELICA MARIA (MA, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MISS
First Name:ANGELICA
Middle Name:MARIA
Last Name:STANO
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 FLORAL AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-1216
Mailing Address - Country:US
Mailing Address - Phone:516-643-8057
Mailing Address - Fax:
Practice Address - Street 1:96 FLORAL AVE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-1216
Practice Address - Country:US
Practice Address - Phone:516-643-8057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist