Provider Demographics
NPI:1952679623
Name:FORONJY, EILEEN MARY (MA)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:MARY
Last Name:FORONJY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:MARY
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:580 WINTHROP AVENUE
Mailing Address - Street 2:WINTHROP AVENUE SCHOOL BELLMORE PUBLIC SCHOOLS
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-4237
Mailing Address - Country:US
Mailing Address - Phone:516-679-2920
Mailing Address - Fax:516-783-2985
Practice Address - Street 1:580 WINTHROP AVENUE
Practice Address - Street 2:WINTHROP AVENUE SCHOOL BELLMORE PUBLIC SCHOOLS
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-4237
Practice Address - Country:US
Practice Address - Phone:516-679-2920
Practice Address - Fax:516-783-2985
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1959235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist