Provider Demographics
NPI:1144812264
Name:SARMIENTO, ROSSANA P (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:ROSSANA
Middle Name:P
Last Name:SARMIENTO
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:ROSSANA
Other - Middle Name:P
Other - Last Name:SARMIENTO DE Q.
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9719 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2504
Mailing Address - Country:US
Mailing Address - Phone:646-431-8030
Mailing Address - Fax:
Practice Address - Street 1:4020 100TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2203
Practice Address - Country:US
Practice Address - Phone:718-779-5968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist