Provider Demographics
NPI:1235472812
Name:SFORZA, NANCY LYNN (SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:SFORZA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 TOPPY LN
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-1802
Mailing Address - Country:US
Mailing Address - Phone:631-243-0933
Mailing Address - Fax:
Practice Address - Street 1:18 TOPPY LN
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-1802
Practice Address - Country:US
Practice Address - Phone:631-243-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005878235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist