Provider Demographics
NPI:1245664895
Name:SIMONELLI, ARYEL ROSE
Entity type:Individual
Prefix:MS
First Name:ARYEL
Middle Name:ROSE
Last Name:SIMONELLI
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 1:53 WHITE CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1625
Mailing Address - Country:US
Mailing Address - Phone:516-924-3852
Mailing Address - Fax:
Practice Address - Street 1:53 WHITE CLIFF LN
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1625
Practice Address - Country:US
Practice Address - Phone:516-924-3852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist