Provider Demographics
NPI:1235384322
Name:GERALDINE PAGANO-PIACENTE,MA/CCC,SLP,PC
Entity Type:Organization
Organization Name:GERALDINE PAGANO-PIACENTE,MA/CCC,SLP,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGANO-PIACENTE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:516-679-5574
Mailing Address - Street 1:1836 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3433
Mailing Address - Country:US
Mailing Address - Phone:516-679-5574
Mailing Address - Fax:
Practice Address - Street 1:1836 BEECH ST
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3433
Practice Address - Country:US
Practice Address - Phone:516-679-5574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency