Provider Demographics
NPI:1619220837
Name:BURO, JEANNE (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:
Last Name:BURO
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5858
Mailing Address - Country:US
Mailing Address - Phone:845-634-6448
Mailing Address - Fax:845-634-6448
Practice Address - Street 1:34 LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5858
Practice Address - Country:US
Practice Address - Phone:845-634-6448
Practice Address - Fax:845-634-6448
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000665-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist