Provider Demographics
NPI:1306129515
Name:RUFFOLO, SARAH (MS ED, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:RUFFOLO
Suffix:
Gender:F
Credentials:MS ED, CCC-SLP
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:RUFFOLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS ED, CCC-SLP
Mailing Address - Street 1:630 66TH ST
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-2212
Mailing Address - Country:US
Mailing Address - Phone:716-286-4287
Mailing Address - Fax:716-286-4203
Practice Address - Street 1:630 66TH ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-2212
Practice Address - Country:US
Practice Address - Phone:716-286-4287
Practice Address - Fax:716-286-4203
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014230-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist