Provider Demographics
NPI:1811142094
Name:ELEJALDE FRANCO, ROSARIO (MS,CCC-SLP,TSHH)
Entity type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:
Last Name:ELEJALDE FRANCO
Suffix:
Gender:F
Credentials:MS,CCC-SLP,TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 SAGAMORE RD
Mailing Address - Street 2:# F8
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1546
Mailing Address - Country:US
Mailing Address - Phone:718-908-5910
Mailing Address - Fax:
Practice Address - Street 1:64 SAGAMORE RD APT 8F
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1519
Practice Address - Country:US
Practice Address - Phone:718-908-5910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016663-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist