MEDICARE: MS. MARIANNE SANTALONE-CERTA M.A., CCC-SP

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	235Z00000X	Speech-Language Pathologist	58003217	NY

General Provider Information

NPI Number	:	1811219298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIANNE SANTALONE-CERTA M.A., CCC-SP

Provider Business Mailing Address
First Line	:	9 CLOISTER ST
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-1025
Country	:	US
Telephone Number	:	516-984-0866
Fax Number	:	718-960-9479

Provider Business Practice Location Address
First Line	:	4487 3RD AVE
Second Line	:	ST BARNABAS HOSPITAL, 2ND FLR. SPEECH & HEARING
City	:	BRONX
State	:	NY
Zip	:	10457-1526
Country	:	US
Telephone Number	:	718-960-6646
Fax Number	:	718-960-9479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2010
Last Update Date	:	01/18/2026

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