Provider Demographics
NPI:1548886930
Name:GIOELLO, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:GIOELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 CLARENDON RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2502
Mailing Address - Country:US
Mailing Address - Phone:516-403-7357
Mailing Address - Fax:
Practice Address - Street 1:2928 CLARENDON RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2502
Practice Address - Country:US
Practice Address - Phone:516-403-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty