Provider Demographics
NPI:1710131099
Name:CURIOSO-VILCHEZ, GISELLA VANESSA (TSHH-BE(SPANISH)/SLP)
Entity Type:Individual
Prefix:
First Name:GISELLA
Middle Name:VANESSA
Last Name:CURIOSO-VILCHEZ
Suffix:
Gender:F
Credentials:TSHH-BE(SPANISH)/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-0445
Mailing Address - Country:US
Mailing Address - Phone:917-596-9814
Mailing Address - Fax:
Practice Address - Street 1:458 HALSTEAD AVE
Practice Address - Street 2:2B
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-5801
Practice Address - Country:US
Practice Address - Phone:917-596-9814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015876235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist