Healthcare Provider Details

I. General information

NPI: 1548686702
Provider Name (Legal Business Name): CHRISTINE VIRGINIA CIAIO M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE VIRGINIA FLORIO

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ZEPHYR AVE
STATEN ISLAND NY
10312-5822
US

IV. Provider business mailing address

9 ZEPHYR AVENUE
STATEN ISLAND NY
10312
US

V. Phone/Fax

Practice location:
  • Phone: 347-860-0361
  • Fax: 718-373-0301
Mailing address:
  • Phone: 347-860-0361
  • Fax: 718-373-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number024705
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: