Doctor Name: | MRS. LINDA KROSTICH |
NPI Number: | 1114028362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPA |
License Number: | 2730 |
Business Practice Address: | 100 Manetto Hill Rd Suite 101 Plainview, NY - 118031311 |
Business Phone Number: | 5169316707 |
Business Fax Number: | 5169313576 |
Mailing Address: | 100 Manetto Hill Rd, Suite 101 PLAINVIEW |
State: | NY |
Postal Code: | 118031311 |
Phone Number: | 5169316707 |
Fax Number: | 5169313576 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2730 |
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 |