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NPI Code Detail

MEDICARE: TONI-ANN ANTONIATO MS CCC SLP

MEDICARE: TONI-ANN ANTONIATO MS 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
1235Z00000XSpeech-Language PathologistNY

General Provider Information

NPI Number : 1942566344
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI-ANN ANTONIATO MS CCC SLP
Provider Business Mailing Address
First Line : 508 N BROOME AVE
Second Line :
City : LINDENHURST
State : NY
Zip : 11757-3403
Country : US
Telephone Number : 631-921-9810
Fax Number :
Provider Business Practice Location Address
First Line : 2915 SUNRISE HWY
Second Line :
City : ISLIP TERRACE
State : NY
Zip : 11752-2716
Country : US
Telephone Number : 631-921-9810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2012
Last Update Date : 07/07/2020

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Directions to “ TONI-ANN ANTONIATO MS CCC SLP” Practice Location

Language Start Address Practice Location
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