Elizabeth Ann Cannistraci, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023680 Issued in NY

Practice address

19 Vaughn Ave
New Rochelle, NY 10801-3120

Phone

(914) 330-4579

NPI assigned

Jun 1, 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 Science

State licenses

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1528294873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VAUGHN AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013120",
            "telephone_number": "914-330-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 VAUGHN AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013120",
            "telephone_number": "914-330-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNISTRACI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Calo, ATC
• David C Calvello, M.D.
• Sheddiann Veshawna Campbell, RN
• Jo Ann G Campolo, MS.SPECIAL ED.
• Ralph Thomas Candela, MD
• Lisa Cantor Wallos
• Diane Cantor
• Livia Capi, MD
• Cecilia Doronila Capistrano, REGISTERED PT
• Nancy Lou Capuano, RD,CDN

• Speech-Language Pathologist in New Rochelle, NY
• Providers in New Rochelle, 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 Nov 3, 2024; 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.