Active NPI
Lianna Feliz Dulfon, MA-CCC/SLP TSSLD
- Early Intervention Provider Agency
- Westhampton, NY
National Provider Identifier
1366697773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 017754-1
- Practice address
- 43 Seabreeze Ave
Westhampton, NY 11977-1111 - Phone
- (631) 804-3337
- NPI assigned
- Nov 26, 2008
- Last updated
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017754-1 | NY | |
| Early Intervention Provider Agency | 252Y00000X | 017754-1 | NY | Primary |
Addresses
Primary practice location
43 Seabreeze Ave
Westhampton, NY 11977-1111
Mailing address
41 Pine Street
East Moriches, NY 11940
Phone (631) 804-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03637056 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017754-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1366697773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PINE STREET",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "11940",
"telephone_number": "631-804-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SEABREEZE AVE",
"city": "WESTHAMPTON",
"state": "NY",
"postal_code": "119771111",
"telephone_number": "631-804-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULFON",
"first_name": "LIANNA",
"middle_name": "FELIZ",
"name_prefix": "Mrs.",
"credential": "MA-CCC/SLP TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017754-1",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "017754-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03637056",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westhampton, NY
- Beatrice Catherine Birmingham
- Lisa Bove, PT
- Olaf Butchma, DO
- Kelly A Clifford
- Dana Geller DPT PLLC (Bounce Back east physical therapy)
- East End Healthcare Inc (Westhampton Care Center)
- Eastern Suffolk Speech and Language Pathology PC
- Denise Ann Elias, P.T.
- Denise Abrams Equinda, MS ED
- Eric Christensen, DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.