Provider Demographics
NPI:1427195031
Name:MISERANDINO, MARGHERITA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGHERITA
Middle Name:
Last Name:MISERANDINO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HORTON ST
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1511
Mailing Address - Country:US
Mailing Address - Phone:917-771-0266
Mailing Address - Fax:516-887-2267
Practice Address - Street 1:10 HORTON ST
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1511
Practice Address - Country:US
Practice Address - Phone:917-771-0266
Practice Address - Fax:516-887-2267
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9863-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist