Provider Demographics
NPI:1174817779
Name:TRIMARCHI, ROSINA (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROSINA
Middle Name:
Last Name:TRIMARCHI
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:MISS
Other - First Name:ROSINA
Other - Middle Name:
Other - Last Name:MICELI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC/SLP
Mailing Address - Street 1:143 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-981-3881
Mailing Address - Fax:718-981-3881
Practice Address - Street 1:143 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2005
Practice Address - Country:US
Practice Address - Phone:718-981-3881
Practice Address - Fax:718-981-3881
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008648235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist