Provider Demographics
NPI:1538801238
Name:BRITO, ROSANNA (MS, CF-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:ROSANNA
Middle Name:
Last Name:BRITO
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7114 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1872
Mailing Address - Country:US
Mailing Address - Phone:516-455-7107
Mailing Address - Fax:
Practice Address - Street 1:7114 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-1872
Practice Address - Country:US
Practice Address - Phone:718-986-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist