Doctor Name: | MISS SELENE ROSARIO |
NPI Number: | 1598009631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP, CCC |
License Number: | 58 022415 |
Business Practice Address: | 1133 Pleasantville Rd Briarcliff Manor, NY - 105101634 |
Business Phone Number: | 9142412727 |
Business Fax Number: | 9142439357 |
Mailing Address: | 54 Park Hill Dr, HOPEWELL JCT |
State: | NY |
Postal Code: | 125335605 |
Phone Number: | 8454539377 |
Fax Number: | 8458974933 |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 58 022415 |
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 |