Denise Eberle
Individual provider Active NPI Speech-Language Pathologist · Rocky Point, NY
NPI 1124174008 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124174008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 005615-1 (NY)
- Practice address
- 17 Comus Rd
Rocky Point, NY 11778-9541 - Phone
- (631) 744-3368
- Fax
- (631) 744-3368
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005615-1 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005615-1 | NY | Yes |
Addresses
Primary practice location
17 Comus Rd
Rocky Point, NY 11778-9541
Mailing address
17 Comus Rd
Rocky Point, NY 11778-9541
Other providers in Rocky Point, NY
- Amy Teresa Dowling
- Dr. Cherches & Dr. Taub
- Susan Marie Draper
- Elizabeth Anne Duddy-Navaretta
- East End Caregivers Inc
- Michael John Ely
- Empire Vision Center Inc
- Caroline Engelhardt
- Edward J Enzukewich
- Colleen Erbis
All providers in Rocky Point, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.