Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700416518 Individual Practitioner Female Practitioner

Dr. Elizabeth Viccaro , PhD, CCC-SLP

Speech-Language Pathologist • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Viccaro, PhD, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Flushing, NY. Practice services are available at 6530 KISSENA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6530 Kissena Blvd

Flushing, NY 113671597

Telephone 7189972930
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
319 Specialists

Practicing in Flushing, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 011168

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

6135 Dry Harbor Rd

Middle Village, NY 113791528

Phone: 7185654200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Joel Stark , PhD

Speech-Language Pathologist

NPI 1124266333

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2020

Registered at 6530 KISSENA BLVD, FLUSHING, NY 113671597 (Tel: 7189972930)

📍
Updated Business Mailing Address January 21, 2020

Registered at 378 BEVERLY RD, DOUGLASTON, NY 113631125 (Tel: 9175725834)

👤
Provider Name / Credentials Updated January 21, 2020

Recorded as ELIZABETH VICCARO, PHD., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2020

Speech-Language Pathologist (License #011168 in NY)

🟢
Initial NPI Registration & Enumeration January 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700416518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2020
Last Update: January 21, 2020
Sole Proprietor: Yes

Mailing Address

378 Beverly Rd

Douglaston, NY 113631125

Phone: 9175725834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.