Lorrina Christine Kostuk, M.A. CCC-SLP TSSLD/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58021768 Issued in NY

Practice address

46 Council St
Niagara Falls, NY 14304-4416

Phone

(716) 471-2604

NPI assigned

Mar 11, 2012

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 Arts

State licenses

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

{
    "created_epoch": "1331424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1497020341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 SAUNDERS SETTLEMENT RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329523",
            "telephone_number": "716-731-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 COUNCIL ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044416",
            "telephone_number": "716-471-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3069 Daniels Rd",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NY",
            "postal_code": "141729536",
            "country_code": "US",
            "telephone_number": "716-751-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTUK",
        "first_name": "LORRINA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "M.A. CCC-SLP TSSLD/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-11",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58021768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komal Chandan Physician PLLC
• Layla Komenda
• Maria J Komin, M.D.
• Robert Korpolinski, LCSW-R
• Diana Korzhukova, MS, RD
• Harshini Kothari
• Christina Ann Kowal, PMHNP-BC
• Janice M. Kozakiewicz, RN/CDE
• Jessica Kozlowski, PA-C
• Dennis Kraft, DMD

• Speech-Language Pathologist in Niagara Falls, NY
• Providers in Niagara Falls, 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 Apr 7, 2022; 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.