Provider Demographics
NPI:1639429673
Name:STREANY, JILLIAN M
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:M
Last Name:STREANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 UNDERHILL AVE
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-5421
Mailing Address - Country:US
Mailing Address - Phone:914-419-2270
Mailing Address - Fax:
Practice Address - Street 1:466 UNDERHILL AVE
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-5421
Practice Address - Country:US
Practice Address - Phone:914-419-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist