Provider Demographics
NPI:1942557582
Name:QUIPIT, AURORA U (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AURORA
Middle Name:U
Last Name:QUIPIT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 SAINT NICHOLAS AVE
Mailing Address - Street 2:APT. 1-I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1212
Mailing Address - Country:US
Mailing Address - Phone:917-362-7894
Mailing Address - Fax:
Practice Address - Street 1:163 SAINT NICHOLAS AVE
Practice Address - Street 2:APT. 1-I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1212
Practice Address - Country:US
Practice Address - Phone:917-362-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency