Village Speech and Language PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

004105 Issued in NY

Legal business name

VILLAGE SPEECH AND LANGUAGE PLLC

Practice address

62 Makamah Beach Rd
Northport, NY 11768

Phone

(631) 722-1466

NPI assigned

Aug 22, 2017

Last updated

Aug 22, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Ianno

Title

Speech Pathologist/Owner

Phone

(631) 722-1466

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1821514795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MAKAMAH BEACH RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MAKAMAH BEACH RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-722-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SPEECH AND LANGUAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "IANNO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "631-722-1466"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "004105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03669761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veterans Administration Hospital
• Katherine Vicinanza
• Victoria Vovsha P.C. (Maximum Vitality)
• Village of Northport
• Village Physical Therapy, P.C.
• Jorge Octavio Villella III
• Simrit Kaur Virk, OD
• Visiting Nurse Service and Hospice of Suffolk Inc
• Visiting Nurse Service and Hospice of Suffolk Inc.
• Visiting Nurse Service and Hospice of Suffolk Inc.

• Hearing and Speech Clinic/Center in Northport, NY
• Providers in Northport, NY by specialty
• Hearing and Speech Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.