Provider Demographics
NPI:1689827743
Name:SCALI, IRENE (MSED,MACCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:SCALI
Suffix:
Gender:F
Credentials:MSED,MACCC/SLP
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:LALIOTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:78 PELL TER
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1929
Mailing Address - Country:US
Mailing Address - Phone:516-589-2939
Mailing Address - Fax:
Practice Address - Street 1:78 PELL TER
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1929
Practice Address - Country:US
Practice Address - Phone:516-589-2939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2008-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014426-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist