Provider Demographics
NPI:1942669247
Name:ROMANO-PECORONI, KRYSTAL (MS, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MS
First Name:KRYSTAL
Middle Name:
Last Name:ROMANO-PECORONI
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 PIPING ROCK DR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2307
Mailing Address - Country:US
Mailing Address - Phone:917-348-7370
Mailing Address - Fax:
Practice Address - Street 1:800 BAYCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1702
Practice Address - Country:US
Practice Address - Phone:718-904-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025326-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY025326-1OtherNYS LICENSE
NY14072642OtherAMERICAN SPEECH HEARING ASSOCIATION (ASHA)