Provider Demographics
NPI:1558718254
Name:RECCA, IULIIA (SLP)
Entity type:Individual
Prefix:
First Name:IULIIA
Middle Name:
Last Name:RECCA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LAKE ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3845
Mailing Address - Country:US
Mailing Address - Phone:914-519-8474
Mailing Address - Fax:
Practice Address - Street 1:11 LAKE ST APT 6B
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3845
Practice Address - Country:US
Practice Address - Phone:914-519-8474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist