Provider Demographics
NPI:1386888451
Name:ROJANO, CAROL ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:ROJANO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 W 64TH ST
Mailing Address - Street 2:APT 6G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6401
Mailing Address - Country:US
Mailing Address - Phone:646-319-4200
Mailing Address - Fax:
Practice Address - Street 1:248 W 64TH ST
Practice Address - Street 2:APT. 6G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6401
Practice Address - Country:US
Practice Address - Phone:646-319-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016347235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist