Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 235Z00000X | Speech-Language Pathologist | | 015308 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 00027078602 | OTHER | | UNIVERA COMMERCIAL |
| 2 | 000640230001 | OTHER | | BCBS WNY |
| 3 | 000640230001 | OTHER | | CHILD HEALTH PLUS FAMILY |
| 4 | 000640230001 | OTHER | | HEALTHY NY HNY 201 |
| 5 | 00027078602 | OTHER | | SENIOR CHOICE |
| 6 | 000640230001 | OTHER | | COMMUNITY BLUE HMO STANDA |
| 7 | 000640230001 | OTHER | | CB ADVANTAGE HMO 201-203 |
| 8 | 050421000037 | OTHER | | FIDELIS CHILD HEALTH PLUS |
| 9 | 000640230001 | OTHER | | CB LABOR HEALTH HMO 204 |
| 10 | 000640230001 | OTHER | | TRADITIONAL SECURE BLUE P |
| 11 | OTH000 | MEDICARE UPIN | | |
| 12 | 01465154 | MEDICAID | NEW YORK | |
| 13 | 000640230001 | OTHER | | COMMUNITY CARE MANAGED CA |
| 14 | OTH000 | MEDICARE ID-TYPE UNSPECIFIED | | |
| 15 | 050421000037 | OTHER | | FIDELIS FAMILY HEALTH PLU |
| 16 | 00027078602 | OTHER | | ASO |
| 17 | 050421000037 | OTHER | | FIDELIS |
