Healthcare Provider Details

I. General information

NPI: 1750026944
Provider Name (Legal Business Name): SARINA LAZZINNARO SLP- CF/ TSSLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

622 3RD AVE FL 7
NEW YORK NY
10017-6723
US

IV. Provider business mailing address

15559 HURON ST
HOWARD BEACH NY
11414-2854
US

V. Phone/Fax

Practice location:
  • Phone: 212-634-2803
  • Fax: 646-650-5963
Mailing address:
  • Phone: 347-860-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: