Healthcare Provider Details

I. General information

NPI: 1750970257
Provider Name (Legal Business Name): KAROLYN PRISCIANDARO MA,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 12/27/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 JUENGSTVILLE ROAD
CROTON FALLS NY
10519-1051
US

IV. Provider business mailing address

PO BOX 533506
ORLANDO FL
32853-3506
US

V. Phone/Fax

Practice location:
  • Phone: 914-380-2145
  • Fax:
Mailing address:
  • Phone: 914-337-6357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: