Healthcare Provider Details

I. General information

NPI: 1225486038
Provider Name (Legal Business Name): DANIELLA MARIE POLIZZI CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLA MARIA RICCIUTI SLP

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HAWTHORNE AVENUE
YONKERS NY
10705
US

IV. Provider business mailing address

140 CRESTWOOD AVENUE
TUCKAHOE NY
10707
US

V. Phone/Fax

Practice location:
  • Phone: 914-376-8652
  • Fax:
Mailing address:
  • Phone: 914-400-3393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: