Provider Demographics
NPI:1790911618
Name:CARMINE F. ZITO & ASSOCIATES INC.
Entity Type:Organization
Organization Name:CARMINE F. ZITO & ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZITO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:631-666-4039
Mailing Address - Street 1:401 W MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8232
Mailing Address - Country:US
Mailing Address - Phone:631-666-4039
Mailing Address - Fax:631-666-4049
Practice Address - Street 1:401 W MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8232
Practice Address - Country:US
Practice Address - Phone:631-666-4039
Practice Address - Fax:631-666-4049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001698-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty