Provider Demographics
NPI:1306021233
Name:CURIONE, GINA M (SLP)
Entity Type:Individual
Prefix:MISS
First Name:GINA
Middle Name:M
Last Name:CURIONE
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 1:5869 WEST ST
Mailing Address - Street 2:
Mailing Address - City:SANBORN
Mailing Address - State:NY
Mailing Address - Zip Code:14132-9246
Mailing Address - Country:US
Mailing Address - Phone:716-628-8810
Mailing Address - Fax:
Practice Address - Street 1:5869 WEST ST
Practice Address - Street 2:
Practice Address - City:SANBORN
Practice Address - State:NY
Practice Address - Zip Code:14132-9246
Practice Address - Country:US
Practice Address - Phone:716-628-8810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011417-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist