| Doctor Name: | MRS. ANDREA MARY CONNERY |
| NPI Number: | 1548551245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | 017466-1 |
| Business Practice Address: | 4937 Spring Road Madison Onelda Boces Verona, NY - 134780168 |
| Business Phone Number: | 3153615902 |
| Business Fax Number: | 3153615653 |
| Mailing Address: | 4937 Spring Road, Po Box 168, Madison Onelda Boces VERONA |
| State: | NY |
| Postal Code: | 134780168 |
| Phone Number: | 3152699997 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2011 |
| NPI Last Update Date: | 12/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 017466-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |