Doctor Name: | MARIE CARNIVALE |
NPI Number: | 1851782932 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 024463-1 |
Business Practice Address: | 1225 Franklin Ave Suite 325 Garden City, NY - 115301691 |
Business Phone Number: | 5165128905 |
Business Fax Number: | 5165430664 |
Mailing Address: | 174 Cleveland Ave, ROCKVILLE CENTRE |
State: | NY |
Postal Code: | 115706032 |
Phone Number: | 5165101609 |
Fax Number: | 5167055563 |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 024463-1 |
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 |