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

MS. Justine Marie Bolusi, SLP-CCC

Individual provider Speech-Language Pathologist · NPI 1700406865

MS. Justine Marie Bolusi, SLP-CCC is a Speech-Language Pathologist in Staten Island, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

380 Genesee Ave
Staten Island, NY 10312-3202
Phone: (718) 984-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 71 Lipsett Ave, Staten Island, NY 10312-4821 — (917) 756-6768

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 018836 (NY)

Record details

NPI number1700406865
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-CCC
Sole proprietorNo
NPI enumeratedApril 19, 2020
Last updated in NPPESApril 19, 2020
Certification dateApril 19, 2020

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