Provider Demographics
NPI:1245843218
Name:MANCINI, CRESCENZA (MS SPEECH)
Entity type:Individual
Prefix:MRS
First Name:CRESCENZA
Middle Name:
Last Name:MANCINI
Suffix:
Gender:F
Credentials:MS SPEECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 101ST ST APT 31E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-8278
Mailing Address - Country:US
Mailing Address - Phone:347-831-4161
Mailing Address - Fax:
Practice Address - Street 1:340 101ST ST APT 31E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8278
Practice Address - Country:US
Practice Address - Phone:347-831-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist