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NPI Code Detail

MEDICARE: JOANNA MICHELE PALADINO CCC-SLP, TSSLD

MEDICARE: JOANNA MICHELE PALADINO CCC-SLP, TSSLD
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
1235Z00000XSpeech-Language Pathologist027081NY

General Provider Information

NPI Number : 1871004408
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA MICHELE PALADINO CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 50 OCEAN AVE
Second Line :
City : ROCKAWAY POINT
State : NY
Zip : 11697-1111
Country : US
Telephone Number : 917-478-2665
Fax Number :
Provider Business Practice Location Address
First Line : 50 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-6105
Country : US
Telephone Number : 718-621-2730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “ JOANNA MICHELE PALADINO CCC-SLP, TSSLD” Practice Location

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