Mary Dacierno Speech Language Pathologist Pc
Specialty details in registry · Staten Island, NY
At a glance
52 Roman Ave, Staten Island, NY 10314-2721
NPPES record updated Dec 2, 2016. Public records can lag behind changes at a practice.
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Practice location
52 Roman Ave Apt. 4Staten Island, NY 10314-2721
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 252Y00000X
- Enumeration date
- Apr 7, 2014
- Record updated
- Dec 2, 2016
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
252Y00000X · Primary
License reported: 022956 NY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
52 Roman AveApt. 4
Staten Island, NY 10314-2721
- Phone
- (917) 586-2964
Mailing address
52 ROMAN AVEAPT. 4
STATEN ISLAND, NY 103142721
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