Provider Demographics
NPI:1518266352
Name:FURNARI, KATHERYN VENETIA (MA CCC-SLP TSSLD)
Entity Type:Individual
Prefix:
First Name:KATHERYN
Middle Name:VENETIA
Last Name:FURNARI
Suffix:
Gender:F
Credentials:MA CCC-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2985 TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-1137
Mailing Address - Country:US
Mailing Address - Phone:516-236-0288
Mailing Address - Fax:
Practice Address - Street 1:2985 TERRACE RD
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-1137
Practice Address - Country:US
Practice Address - Phone:516-236-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist