Provider Demographics
NPI:1730332917
Name:BRAUNFELD, GISELLE GITTY (MA/ CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:GISELLE
Middle Name:GITTY
Last Name:BRAUNFELD
Suffix:
Gender:F
Credentials:MA/ CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 ROUTE 306
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1443
Mailing Address - Country:US
Mailing Address - Phone:845-354-6438
Mailing Address - Fax:845-354-4836
Practice Address - Street 1:337 ROUTE 306
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1443
Practice Address - Country:US
Practice Address - Phone:845-354-6438
Practice Address - Fax:845-354-4836
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005603-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist