Dana Marie Ardovini, SLP
Individual provider Active NPI Speech-Language Pathologist · Niskayuna, NY
NPI 1982159406 · NPPES record last updated Apr 3, 2020
Key facts
- NPI
- 1982159406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 025804-1 (NY)
- Practice address
- 104 Heather CT
Niskayuna, NY 12309-3140 - Phone
- (914) 282-5206
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200416001947 | NY | Practitioner - Qualified Speech Language Pathologist | 1254761158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025804 | NY | MD | Clinical Neuropsychologist |
| 025804-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyview Hospital and Rehabilitation Center | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 025804-1 | NY | Yes |
Addresses
Primary practice location
104 Heather CT
Niskayuna, NY 12309-3140
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 525-4530
Other providers in Niskayuna, NY
- Jennifer Amlaw-Teneyck
- Christine E Amore
- Melissa A Anderson
- Andrew Hune DPM, PLLC
- Andrew S Berry Psychologist PC
- Hina Gul Asad
- Tearle Devin Ashby
- Hakan Attaroglu
- Renata Atwood
- Echi Barhydt
All providers in Niskayuna, 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 Apr 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.