Healthcare Provider Details

I. General information

NPI: 1205767332
Provider Name (Legal Business Name): TAYLOR SALERNO CCC-SLP; TSSLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 W KINGSBRIDGE RD
BRONX NY
10463-7346
US

IV. Provider business mailing address

1135 WESTCHESTER AVE UNIT 1203
WHITE PLAINS NY
10604-3559
US

V. Phone/Fax

Practice location:
  • Phone: 718-796-9434
  • Fax:
Mailing address:
  • Phone: 718-796-9434
  • 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:
Title or Position:
Credential:
Phone: