Healthcare Provider Details

I. General information

NPI: 1912862582
Provider Name (Legal Business Name): PAMELA ULLAGUARI SLP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 ROCKWOOD AVE
BALDWIN NY
11510-3037
US

IV. Provider business mailing address

2330 ROCKWOOD AVE
BALDWIN NY
11510-3037
US

V. Phone/Fax

Practice location:
  • Phone: 347-244-2425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: PAMELA ULLAGUARI
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential:
Phone: 347-244-2425