Laurie Danielle Kolin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12147418 Issued in NY

Practice address

645 Main St
Roosevelt Island, NY 10044-0010

Phone

(516) 641-1806

NPI assigned

Jan 7, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1992009740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 63RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657433",
            "telephone_number": "516-641-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "ROOSEVELT ISLAND",
            "state": "NY",
            "postal_code": "100440010",
            "telephone_number": "516-641-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIN",
        "first_name": "LAURIE",
        "middle_name": "DANIELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12147418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "932033592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahanara Hossain, MD
• Su-Ying Huang, M.D.
• Christina K Hui, PHARMD
• Marie Marthe Joazile, NP
• Nasrin Khan, M.D.
• Lawrence M Itskowitch DDS,PC
• Chorong Lee
• Yang Lee, MD
• Mie Mie Lin, MD
• Medhavini Londhe-Nerkar, MD

• Speech-Language Pathologist in Roosevelt Island, NY
• Providers in Roosevelt Island, 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 May 29, 2012; 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.