Provider Demographics
NPI:1760725097
Name:LLANO, GLENNIE
Entity Type:Individual
Prefix:MRS
First Name:GLENNIE
Middle Name:
Last Name:LLANO
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 1:9210 SILVER RD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2442
Mailing Address - Country:US
Mailing Address - Phone:718-848-2025
Mailing Address - Fax:
Practice Address - Street 1:9210 SILVER RD
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-2442
Practice Address - Country:US
Practice Address - Phone:718-848-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist