Provider Demographics
NPI:1255741492
Name:FARINO, JILL (SLP)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:
Last Name:FARINO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:RATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:780 SMITH STREET
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553
Mailing Address - Country:US
Mailing Address - Phone:516-554-5015
Mailing Address - Fax:
Practice Address - Street 1:780 SMITH STREET
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553
Practice Address - Country:US
Practice Address - Phone:516-918-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NY024671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist