Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Sandra Beth Mazzucco, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1851602643

MS. Sandra Beth Mazzucco, 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
2010
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Practice location Address checks out

1076 Forest Ave
Staten Island, NY 10310-2405
Phone: (718) 815-6024
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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 002642-1 (NY)

Record details

NPI number1851602643
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedJune 25, 2010
Last updated in NPPESJune 25, 2010

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