Provider Demographics
NPI:1316158165
Name:DIPALMA, FELIX M (MS,CCC)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:M
Last Name:DIPALMA
Suffix:
Gender:M
Credentials:MS,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 BURTON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-3550
Mailing Address - Country:US
Mailing Address - Phone:718-948-7381
Mailing Address - Fax:
Practice Address - Street 1:144 BURTON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3550
Practice Address - Country:US
Practice Address - Phone:718-948-7381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002906-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist