Provider Demographics
NPI:1124380001
Name:CIPOLLARO, BARBARA (SPEECH AND HEARING)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:CIPOLLARO
Suffix:
Gender:F
Credentials:SPEECH AND HEARING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 MILLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-1637
Mailing Address - Country:US
Mailing Address - Phone:914-736-1212
Mailing Address - Fax:
Practice Address - Street 1:253 MILLINGTON RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-1637
Practice Address - Country:US
Practice Address - Phone:914-736-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315873031174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist