Provider Demographics
NPI:1174172084
Name:MIGLIACCIO, JAMIE (CF, SLP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:MIGLIACCIO
Suffix:
Gender:F
Credentials:CF, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E 83RD ST APT 5W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4367
Mailing Address - Country:US
Mailing Address - Phone:609-610-0340
Mailing Address - Fax:
Practice Address - Street 1:252 W 76TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8227
Practice Address - Country:US
Practice Address - Phone:609-610-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist