Courtney Sicilia
Individual provider Active NPI Speech-Language Pathologist · Verona, NY
NPI 1326754367 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1326754367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 029079 (NY)
- Practice address
- 4937 Spring Rd
Verona, NY 13478-3526 - Phone
- (315) 361-5500
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 029079 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 029079 | NY | Yes |
Addresses
Primary practice location
4937 Spring Rd
Verona, NY 13478-3526
Mailing address
4937 Spring Rd
Verona, NY 13478-3526
Phone (315) 361-5500
Other providers in Verona, NY
- Rome Memorial Hospital, Inc
- Emily Rossi
- Arkadiusz Grzegorz Sereda
- Cheryl Ann Sexton
- Genevieve Nadine Sgarlata
- Colleen Patricia Smith
- Anthony Thomas
- Michele Mary Vanderhoof
- Vernon Verona Sherrill Central School
- Verona Family Practice
All providers in Verona, 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 Jan 24, 2023. 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.