Provider Demographics
NPI:1003686080
Name:RIBEIRO, NICOLETTE ANNE (CF-SLP)
Entity Type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:ANNE
Last Name:RIBEIRO
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MILL CT
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1468
Mailing Address - Country:US
Mailing Address - Phone:191-483-0801
Mailing Address - Fax:
Practice Address - Street 1:40 SAW MILL RIVER RD STE LL1
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1535
Practice Address - Country:US
Practice Address - Phone:914-347-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist