Provider Demographics
NPI:1497366322
Name:DELFRANCO, SARA MARIE (MS,SLP-CCC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:DELFRANCO
Suffix:
Gender:F
Credentials:MS,SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 GREENE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-1963
Mailing Address - Country:US
Mailing Address - Phone:347-886-6334
Mailing Address - Fax:
Practice Address - Street 1:15840 76TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1032
Practice Address - Country:US
Practice Address - Phone:718-380-1247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032832235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist