Patricia E Basani, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Carmel, NY
NPI 1407000615 · NPPES record last updated May 1, 2017
Key facts
- NPI
- 1407000615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016718-1 (NY)
- Practice address
- 176 Fairway Dr
Carmel, NY 10512-1529 - Phone
- (917) 687-4877
- NPI assigned
- Nov 14, 2008
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016718-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016718-1 | NY | Yes |
Addresses
Primary practice location
176 Fairway Dr
Carmel, NY 10512-1529
Mailing address
176 Fairway Dr
Carmel, NY 10512-1529
Phone (917) 687-4877
Other providers in Carmel, NY
- Pamita Nila Baksh
- Michael Balles
- Wilma Arlene Balzano
- Michael J Bank
- Barns Center Pharmacy Inc
- Diana Basini
- Alfred Scott Bassin
- Richard J Batistta
- Jonathan Hugh Bauman
- Susan M Bay
All providers in Carmel, 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 May 1, 2017. 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.