Provider Demographics
NPI:1700925906
Name:OGNIBENE, ROCCO JAMES (MA CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:ROCCO
Middle Name:JAMES
Last Name:OGNIBENE
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 ZANA CT
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1218
Mailing Address - Country:US
Mailing Address - Phone:516-483-5874
Mailing Address - Fax:516-483-5874
Practice Address - Street 1:1874 ZANA CT
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1218
Practice Address - Country:US
Practice Address - Phone:516-483-5874
Practice Address - Fax:516-483-5874
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005213-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist