Dominica Corso-Boland, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014559-1 Issued in NY

Practice address

455 Huguenot Avenue
Staten Island, NY 10312-1101

Phone

(718) 701-6343

NPI assigned

Feb 20, 2009

Sex

Female

Sole proprietor

Yes

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1497995179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 FOSTER RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092220",
            "telephone_number": "718-317-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HUGUENOT AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121101",
            "telephone_number": "718-701-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO-BOLAND",
        "first_name": "DOMINICA",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Correll-Dunphy, L.C.S.W.
• Michael Dennis Corrente Jr., D.O.
• Amanda Joy Corriere, OTR/L
• Taryn Corrigan
• Corserve Inc
• Blaise Corso
• Sherine T Corso, OTR
• Stephanie Corso, M.S.ED
• Annabelle Cortes
• Janine Cortes

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Jan 13, 2017; 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.