Provider Demographics
NPI:1659667780
Name:RANIOLO, JANINE MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:MARIE
Last Name:RANIOLO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 BROADWAY
Mailing Address - Street 2:SUITE 905
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3911
Mailing Address - Country:US
Mailing Address - Phone:347-491-4451
Mailing Address - Fax:
Practice Address - Street 1:350 BROADWAY
Practice Address - Street 2:SUITE 905
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3911
Practice Address - Country:US
Practice Address - Phone:347-491-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist