Denise Boniface, SLP
Individual provider Active NPI Speech-Language Pathologist · East Greenbush, NY
NPI 1871870477 · NPPES record last updated Nov 10, 2011
Key facts
- NPI
- 1871870477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016408-1 (NY)
- Practice address
- 29 Englewood Ave
East Greenbush, NY 12061-3900 - Phone
- (518) 207-2500
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 016408-1 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016408-1 | NY | Yes |
Addresses
Primary practice location
29 Englewood Ave
East Greenbush, NY 12061-3900
Mailing address
32 Ridge Road
Rensselaer, NY 12144
Phone (518) 479-3488
Other providers in East Greenbush, NY
- Shakara Blackshear
- Myriam Blaise
- Blizo NP Adult Health, PLLC
- Mary Antoinette Boisvert
- Vadeemia Bond
- Kelly Brambrick
- Nancy Brennan-Jordan
- Kristen Brown
- Amber Michelle Bruckner
- Krista Dendor Bryant
All providers in East Greenbush, 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 10, 2011. 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.