Search › New York › 1041C0700X
Stephanie Persico, LCSW
NPI 1861892168 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3251 Route 112
Medford, NY 11763 - Phone
- (631) 451-6007
- Organisation at this address
- Diana Vollaro Slp Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Additional practice sites
- 2030 Bodanyi Pl, Ronkonkoma, NY
- 811 W Jericho Tpke, Smithtown, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2021-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York