Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emma Rosa Bustamante-Wilson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578082749

Emma Rosa Bustamante-Wilson, CCC-SLP is a Speech-Language Pathologist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

144 Keating Pl
Staten Island, NY 10314-6145
Phone: (718) 698-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 026358 (NY)

Record details

NPI number1578082749
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESSeptember 19, 2017

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