Doctor Name: | MS. NICOLE LEE PARASCANDO |
NPI Number: | 1003169095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 021832 |
Business Practice Address: | 1000 South Avenue Staten Island, NY - 103143409 |
Business Phone Number: | 7184770961 |
Business Fax Number: | 7187611643 |
Mailing Address: | 367 Manhattan Street, STATEN ISLAND |
State: | NY |
Postal Code: | 103071818 |
Phone Number: | 7189674888 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 021832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |