Provider Demographics
NPI:1851554752
Name:FNG SPEECH PATHOLOGY, PC
Entity Type:Organization
Organization Name:FNG SPEECH PATHOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:GAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:718-319-1742
Mailing Address - Street 1:1250 WATERS PLACE
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-319-1742
Mailing Address - Fax:718-360-9252
Practice Address - Street 1:1250 WATERS PLACE
Practice Address - Street 2:SUITE 501
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-319-1742
Practice Address - Fax:718-360-9252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015978235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty