Gina Rose Labozzetti Brugellis, M.S. SLP TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017810 Issued in NY

Practice address

172 South St
Goshen, NY 10924-2411

Phone

(845) 741-9381

Fax

(845) 294-8785

NPI assigned

Apr 12, 2010

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Making Milestones Spech and Language Pathology P.C.

  • Early Intervention Provider Agency
  • Goshen, NY
  • NPI 1851617302
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1811213143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SOUTH ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242411",
            "telephone_number": "845-741-9381",
            "fax_number": "845-294-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SOUTH ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242411",
            "telephone_number": "845-741-9381",
            "fax_number": "845-294-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOZZETTI BRUGELLIS",
        "first_name": "GINA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liezel A Kuchinsky
• Aleksey Kuklov, M.D.
• Rebecca A Kunkel, LCSW
• Maureen Finnegan Kussard, R.N
• Tae S Kwon, MD
• Cristine Labush, MS, CCC-SLP
• Cynthia Ladanyi, OTR/L
• Vega Lalire, PHD
• Chloe Evelyn Lamb, MSW
• Natalia Lammy-Sampson, COTA/L

• Speech-Language Pathologist in Goshen, NY
• Providers in Goshen, 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 12, 2010; 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.