Provider Demographics
NPI:1922835339
Name:CUGINI, HOLLY PAIGE
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:PAIGE
Last Name:CUGINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 HARBOR BLVD APT 4441
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-7759
Mailing Address - Country:US
Mailing Address - Phone:732-403-0032
Mailing Address - Fax:
Practice Address - Street 1:511 W 182ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-5107
Practice Address - Country:US
Practice Address - Phone:212-781-0524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist