Alyssa Margaret Angilella, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Centereach, NY
NPI 1326409657 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1326409657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 025486-1 (NY)
- Practice address
- 42 Millford LN
Centereach, NY 11720-2828 - Phone
- (631) 504-2980
- NPI assigned
- Mar 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025486-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 025486-1 | NY | Yes |
Addresses
Primary practice location
42 Millford LN
Centereach, NY 11720-2828
Mailing address
42 Millford LN
Centereach, NY 11720-2828
Phone (631) 504-2980
Other providers in Centereach, NY
- Syeda Ali
- Samantha Alotta
- Linda Altenburger
- Lizette Amparado
- Danielle A Angelo
- Anthony J Anzalone
- Apex Imaging and Services LLC
- Koren C Arevalo
- Lisa Ann Artale
- Eva Asamoah
All providers in Centereach, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.