MEDICARE: CENTER FOR COMMUNICATION CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		NY

General Provider Information

NPI Number	:	1114053238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR COMMUNICATION CARE, LLC

Provider Business Mailing Address
First Line	:	10 JAMES ST
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-2808
Country	:	US
Telephone Number	:	631-669-8255
Fax Number	:	631-321-6645

Provider Business Practice Location Address
First Line	:	10 JAMES ST
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-2808
Country	:	US
Telephone Number	:	631-669-8255
Fax Number	:	631-321-6645

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MS. DORENE RIGGIO-TONN
Credential	:	M.S.
Telephone Number	:	631-669-8255

Provider Enumeration Date	:	02/25/2007
Last Update Date	:	06/13/2012

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Directions to “CENTER FOR COMMUNICATION CARE, LLC ” Practice Location

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