Doctor Name: | THOMAS CHARLES CORDARO |
NPI Number: | 1790806628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 014820 |
Business Practice Address: | 1200 E And West Rd West Seneca, NY - 142243604 |
Business Phone Number: | 5855890771 |
Business Fax Number: | |
Mailing Address: | 3093 Brockport Rd, Apt 5 SPENCERPORT |
State: | NY |
Postal Code: | 145592195 |
Phone Number: | 5855900813 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 014820 |
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 |