Provider Demographics
NPI:1497164495
Name:SANOCKI, ANA (MA, CCC-SLP, B-E)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:
Last Name:SANOCKI
Suffix:
Gender:F
Credentials:MA, CCC-SLP, B-E
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:BUCZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP, B-E
Mailing Address - Street 1:8610 114TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1730
Mailing Address - Country:US
Mailing Address - Phone:718-441-4448
Mailing Address - Fax:
Practice Address - Street 1:8610 114TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1730
Practice Address - Country:US
Practice Address - Phone:718-441-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024817235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist