Provider Demographics
NPI:1659381598
Name:SINIBALDI, JANICE (MS, ED)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:SINIBALDI
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:DIETZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ED
Mailing Address - Street 1:2900 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2309
Mailing Address - Country:US
Mailing Address - Phone:716-871-9883
Mailing Address - Fax:
Practice Address - Street 1:17 LIMESTONE DR STE 5
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8601
Practice Address - Country:US
Practice Address - Phone:716-362-1552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2016-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001945-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ15172Medicare UPIN
NYQ15172Medicare UPIN