Provider Demographics
NPI:1447409008
Name:RASCHILLA, ADRIANA ROSEMARY (MS SLP, SE)
Entity Type:Individual
Prefix:MISS
First Name:ADRIANA
Middle Name:ROSEMARY
Last Name:RASCHILLA
Suffix:
Gender:F
Credentials:MS SLP, SE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOWLAND RD
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1623
Mailing Address - Country:US
Mailing Address - Phone:917-880-0469
Mailing Address - Fax:
Practice Address - Street 1:2529 GERRITSEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5943
Practice Address - Country:US
Practice Address - Phone:917-880-0469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0142351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist