Doctor Name: | MS. CORINNE D SANDUSKY |
NPI Number: | 1326186933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 015835-1 |
Business Practice Address: | 7000 Austin Street, Suite 200 Forest Hills, NY - 11375 |
Business Phone Number: | 7187627633 |
Business Fax Number: | |
Mailing Address: | 1 74th Street, BROOKLYN |
State: | NY |
Postal Code: | 11209 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/03/2007 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015835-1 |
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 |