Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Dacierno Speech Language Pathologist PC

Organization Early Intervention Provider Agency · NPI 1033538087

Mary Dacierno Speech Language Pathologist PC is an Early Intervention Provider Agency in Staten Island, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

52 Roman Ave Apt 4
Staten Island, NY 10314-2721
Phone: (917) 586-2964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 022956 (NY)

Record details

NPI number1033538087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Vitale — Speech Language Pathologist · (917) 586-2964
NPI enumeratedApril 7, 2014
Last updated in NPPESDecember 2, 2016
Mailing address52 Roman Ave, Apt. 4, Staten Island, NY 10314-2721

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