Laura Sanfilippo, LICENSED SLP, MA-CCC
Individual provider Active NPI Speech-Language Pathologist · Chittenango, NY
NPI 1730459744 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1730459744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0043081 (NY)
- Practice address
- 1732 Fyler Rd
Chittenango, NY 13037-8522 - Phone
- (315) 687-2669
- NPI assigned
- Jan 6, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0043081 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0043081 | NY | Yes |
Addresses
Primary practice location
1732 Fyler Rd
Chittenango, NY 13037-8522
Mailing address
2305 Wellington Dr S
Cazenovia, NY 13035-9439
Phone (315) 655-5432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01434959 | Medicaid | NY |
Other providers in Chittenango, NY
- Theresa A Richardson
- Rite Aid of New York Inc
- Hanna Rogers
- Rajoana Rojony
- Zachary Rosado
- Sarah Scholes M Sarah Scholes
- Sharon Schlueter
- Alyssa Christine Shute
- Hannah Sidebottom
- Stonehedge Aquisition Chittenango I, LLC
All providers in Chittenango, 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 Jan 6, 2012. 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.