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

MS. Kristyn Blake Dicostanzo

Individual provider Speech-Language Pathologist · NPI 1821642521

MS. Kristyn Blake Dicostanzo is a Qualified Speech Language Pathologist in Staten Island, New York. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

33 Ferndale Ave
Staten Island, NY 10314-4843
Phone: (718) 698-5757
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1821642521
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 31, 2019
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Staten Island