Provider Demographics
NPI:1639324338
Name:RUSCIO, DENISE ROSE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ROSE
Last Name:RUSCIO
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOFSTRA UNVERSITY SALTZMAN CTR
Mailing Address - Street 2:SPEECH-LANGUAGE-HEARING CLINIC
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11549-0001
Mailing Address - Country:US
Mailing Address - Phone:516-463-5433
Mailing Address - Fax:516-463-4831
Practice Address - Street 1:HOFSTRA UNVERSITY SALTZMAN CTR
Practice Address - Street 2:SPEECH-LANGUAGE-HEARING CLINIC
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11549-0001
Practice Address - Country:US
Practice Address - Phone:516-463-5433
Practice Address - Fax:516-463-4831
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005744235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist