Provider Demographics
NPI:1932133220
Name:COMPETIELLO, GERARDINA (MS, CCC/A)
Entity Type:Individual
Prefix:
First Name:GERARDINA
Middle Name:
Last Name:COMPETIELLO
Suffix:
Gender:F
Credentials:MS, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-6131
Mailing Address - Country:US
Mailing Address - Phone:631-348-0050
Mailing Address - Fax:631-348-0105
Practice Address - Street 1:255 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-6131
Practice Address - Country:US
Practice Address - Phone:631-348-0050
Practice Address - Fax:631-348-0105
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18831231H00000X
NY140000016018237600000X, 231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner