Provider Demographics
NPI:1720112717
Name:KRZEMIENSKI, KERI ANNE (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:KERI
Middle Name:ANNE
Last Name:KRZEMIENSKI
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:KERI
Other - Middle Name:ANNE
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:2 FEATHER LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1207
Mailing Address - Country:US
Mailing Address - Phone:631-266-1033
Mailing Address - Fax:
Practice Address - Street 1:2 FEATHER LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1207
Practice Address - Country:US
Practice Address - Phone:631-266-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009302235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist