Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dominica Corso-Boland, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1497995179

Mrs. Dominica Corso-Boland, MACCC-SLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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Practice location Address checks out

455 Huguenot Ave
Staten Island, NY 10312-1101
Phone: (718) 701-6343
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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 014559-1 (NY)

Record details

NPI number1497995179
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 20, 2009
Last updated in NPPESJanuary 13, 2017

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