Viviane C Fata, MSCCCSLP
Individual provider Active NPI Speech-Language Pathologist · Albertson, NY
NPI 1760636823 · NPPES record last updated Nov 14, 2008
Key facts
- NPI
- 1760636823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 009931 (NY)
- Practice address
- 4 Crescent LN
Albertson, NY 11507-1106 - Phone
- (516) 238-8076
- Fax
- (516) 621-3945
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009931 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009931 | NY | Yes |
Addresses
Primary practice location
4 Crescent LN
Albertson, NY 11507-1106
Mailing address
4 Crescent LN
Albertson, NY 11507-1106
Phone (516) 238-8076
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All providers in Albertson, 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 Nov 14, 2008. 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.