Provider Demographics
NPI:1356595177
Name:DEL PINO, EMILIA (MS)
Entity type:Individual
Prefix:MRS
First Name:EMILIA
Middle Name:
Last Name:DEL PINO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:EMILIA
Other - Middle Name:
Other - Last Name:DEL PINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:7945 HALITE CRSE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-9687
Mailing Address - Country:US
Mailing Address - Phone:315-637-8220
Mailing Address - Fax:
Practice Address - Street 1:6296 FLY RD
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9333
Practice Address - Country:US
Practice Address - Phone:315-701-5710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096001235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist