Provider Demographics
NPI:1619364924
Name:PASSERO, NINA LUCY (MA, CFY-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:LUCY
Last Name:PASSERO
Suffix:
Gender:F
Credentials:MA, CFY-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5506
Mailing Address - Country:US
Mailing Address - Phone:914-793-6130
Mailing Address - Fax:
Practice Address - Street 1:580 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5506
Practice Address - Country:US
Practice Address - Phone:914-793-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist