Christine Elizabeth Salica

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

Q-2007-1645 Issued in NY

Practice address

28 Tioga Walk
Breezy Point, NY 11697-1508

Phone

(347) 754-0154

Fax

(718) 474-1649

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1013388099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 TIOGA WALK",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971508",
            "telephone_number": "347-754-0154",
            "fax_number": "718-474-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 TIOGA WALK",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971508",
            "telephone_number": "347-754-0154",
            "fax_number": "718-474-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALICA",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "Q-2007-1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Meyers
• Kerry Ann Mullee
• Maura O'Grady
• Shannon Parr
• Susanne Rieth
• Maureen Stokes-McCarthy, FNP
• Mackenzie Lynn Thompson, MS

• All providers in Breezy Point, NY
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.