Carole Linda Kornsweig, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

849 Issued in NY

Practice address

71 S Central Ave
Suite 303
Valley Stream, NY 11580-5495

Phone

(516) 524-0450

Fax

(516) 791-8631

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Carole Linda Grunes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1871648956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GEORGIA AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611232",
            "telephone_number": "516-524-0450",
            "fax_number": "516-791-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S CENTRAL AVE",
            "address_2": "SUITE 303",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805495",
            "telephone_number": "516-524-0450",
            "fax_number": "516-791-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNSWEIG",
        "first_name": "CAROLE",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "AS1681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000057740501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "GRUNES",
            "middle_name": "LINDA",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Valley Stream, NY
• Providers in Valley Stream, 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 Feb 9, 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.