MEDICARE: MRS. KELLY C SORKIN M.A. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	020254-1	NY

General Provider Information

NPI Number	:	1497061956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLY C SORKIN M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	362 VINELAND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-2853
Country	:	US
Telephone Number	:	917-584-7733
Fax Number	:

Provider Business Practice Location Address
First Line	:	362 VINELAND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-2853
Country	:	US
Telephone Number	:	917-584-7733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2010
Last Update Date	:	01/25/2026

Similar Medicare Providers

1720517865 — MS. MEGAN A. SCULLY RN
Practice Location Address:

80 EL CAMINO LOOP BSMT
STATEN ISLAND, NY
10309-2853

Practice Phone: 646-460-6607
Practice Fax:

1811538671 — MRS. CORINE JONES
Practice Location Address:

2853 141ST PL
BLUE ISLAND, IL
60406-3311

Practice Phone:
Practice Fax:

1841982048 — KHALIL JONES
Practice Location Address:

2853 141ST PL
BLUE ISLAND, IL
60406-3311

Practice Phone: 798-510-1952
Practice Fax:

1407649221 — JULIETA JONES RN, BSN
Practice Location Address:

2853 141ST PL
BLUE ISLAND, IL
60406-3311

Practice Phone: 708-985-6581
Practice Fax: 708-985-6581

1023977667 — DARIEN HIMI
Practice Location Address:

3911 RICHMOND AVE
STATEN ISLAND, NY
10312-5110

Practice Phone: 718-948-3232
Practice Fax:

1598614612 — LEANWELL
Practice Location Address:

337 HAMPTON GRN
STATEN ISLAND, NY
10312-1722

Practice Phone: 646-441-0626
Practice Fax:

Directions to “ MRS. KELLY C SORKIN M.A. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.