Individual provider · Type 1 NPI

Gabrielle Luisa Massucci, MS CF-SLP TSSLD

Student in an Organized Health Care Education/Training Program · Port Jefferson Station, NY

NPI number 1497366918 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

352 Avenue C
Ronkonkoma, NY 11779-1945

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497366918

Gabrielle Luisa Massucci, MS CF-SLP TSSLD's National Provider Identifier is 1497366918, issued on Aug 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 10, 2020.