Provider Demographics
NPI:1003240615
Name:SUKIASYAN, VIOLETTA (SLP)
Entity Type:Individual
Prefix:MISS
First Name:VIOLETTA
Middle Name:
Last Name:SUKIASYAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 MONTREAL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4411
Mailing Address - Country:US
Mailing Address - Phone:917-378-4842
Mailing Address - Fax:
Practice Address - Street 1:339 MONTREAL AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4411
Practice Address - Country:US
Practice Address - Phone:917-378-4842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist