Healthcare Provider Details

I. General information

NPI: 1750026944
Provider Name (Legal Business Name): SARINA LAZZINNARO MS, CCC-SLP, TSSLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 LEWIS AVE
BROOKLYN NY
11206-7013
US

IV. Provider business mailing address

15559 HURON ST
HOWARD BEACH NY
11414-2854
US

V. Phone/Fax

Practice location:
  • Phone: 718-453-1001
  • Fax:
Mailing address:
  • Phone: 347-860-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number033356-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: