Provider Demographics
NPI:1235433947
Name:GRIGOLI, ANNAMARIA C
Entity Type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:C
Last Name:GRIGOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 BIESELIN RD
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-2328
Mailing Address - Country:US
Mailing Address - Phone:646-773-1321
Mailing Address - Fax:
Practice Address - Street 1:62 BIESELIN RD
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-2328
Practice Address - Country:US
Practice Address - Phone:646-773-1321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist