Caridad Polanco Gallo, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021418 Issued in NY

Practice address

3711 21St Ave
Long Island City, NY 11105-1838

Phone

(718) 278-6403

NPI assigned

Nov 29, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1154864882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 21ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111051838",
            "telephone_number": "718-278-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 21ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111051838",
            "telephone_number": "718-278-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO GALLO",
        "first_name": "CARIDAD",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Pitkof, RN
• Daniel Alejandro Pizarro, OTR/L
• Elizabeth J Placido
• Yana Rebecca Pleshivoy, CCC-SLP
• Plume Health, PC
• Kirk S Polius
• Rodlyne Polynice, MS, OTR/L
• Esther Pomares, MD, MPH
• David A Ponton, PA
• Edward S Poon, RPH

• Speech-Language Pathologist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.