Provider Demographics
NPI:1194472167
Name:ISLAND SPEECH PATHOLOGY, DINA GIANCONTIERI, P.C.
Entity Type:Organization
Organization Name:ISLAND SPEECH PATHOLOGY, DINA GIANCONTIERI, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GIANCONTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:631-960-2349
Mailing Address - Street 1:2381 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-2030
Mailing Address - Country:US
Mailing Address - Phone:631-960-2349
Mailing Address - Fax:
Practice Address - Street 1:2381 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-2030
Practice Address - Country:US
Practice Address - Phone:631-960-2349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty