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Ms. Gabrielle Luisa Massucci, MSCF-SLPTSSLD
Student in an Organized Health Care Education/Training Program in Port Jefferson Station, New York
NPI 1497366918

Gabrielle Luisa Massucci is a Student in an Organized Health Care Education/Training Program based in Ronkonkoma, NY. Gabrielle Luisa Massucci practices in Port Jefferson Station, NY and has the professional credentials of MSCF-SLPTSSLD. The NPI Number for Gabrielle Luisa Massucci is 1497366918 and holds a License No. (New York).

The current practice location address for Gabrielle Luisa Massucci is 299 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-473-4284.

Location: 299 Hallock Ave, Port Jefferson Station, NY, 11779-1945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497366918
Provider Name
Gabrielle Luisa Massucci
Credential
MSCF-SLPTSSLD
Provider Entity Type
Individual
Gender
Female
Address
299 Hallock Ave, Port Jefferson Station, NY, 11779-1945
Phone Number
631-473-4284
Fax Number
Provider Enumeration Date
08/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1217
Phone Number
631-473-4284
Fax Number
person
Provider Business Mailing Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1217
Phone Number
631-473-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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