Mary Dacierno Speech Language Pathologist PC
Early Intervention Provider Agency in Staten Island, New York
1033538087- Practice location
- 52 Roman Ave, Apt. 4, Staten Island, NY 10314-2721
- Phone
- 917-586-2964
- Fax
- —
- Last updated
- December 2, 2016
Mary Dacierno Speech Language Pathologist PC is a healthcare organization based in Staten Island, NY. Mary Dacierno Speech Language Pathologist PC practices in Staten Island, NY. The NPI Number for Mary Dacierno Speech Language Pathologist PC is 1033538087 and holds a License No. 022956 (NY). The current practice location address for Mary Dacierno Speech Language Pathologist PC is 52 Roman Ave, Apt. 4, Staten Island, NY 10314-2721 and can be reached out via phone at 917-586-2964.
Provider Profile Details
- NPI Number
- 1033538087
- Provider Name
- Mary Dacierno Speech Language Pathologist PC
- Provider Entity Type
- Organization
- Address
- 52 Roman Ave, Apt. 4, Staten Island, NY 10314-2721
- Phone Number
- 917-586-2964
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Mary Vitale, MS CCC SLP · Speech Language Pathologist · 917-586-2964
- Provider Enumeration Date
- April 7, 2014
- Last Update Date
- December 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 52 Roman Ave
Apt. 4
Staten Island, NY 10314-2721 - City
- Staten Island
- State
- New York
- Zip
- 10314-2721
- Phone Number
- 917-586-2964
Provider Business Mailing Address Details
- Address
- 52 Roman Ave
Apt. 4
Staten Island, NY 10314-2721 - City
- Staten Island
- State
- NY
- Zip
- 10314-2721
- Phone Number
- 917-586-2964
License Information
- License Number
- 022956
- License State
- NY
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Dacierno Speech Language Pathologist PC?
The NPI number of Mary Dacierno Speech Language Pathologist PC is 1033538087. It was assigned on April 7, 2014 and is currently active in the NPPES registry.
What is the specialty of Mary Dacierno Speech Language Pathologist PC?
Mary Dacierno Speech Language Pathologist PC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in NY under license number 022956.
Where does Mary Dacierno Speech Language Pathologist PC practice?
The practice location is 52 Roman Ave, Apt. 4, Staten Island, NY 10314-2721. The office can be reached at 917-586-2964 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033538087 directly on the NPPES registry website.