Basic Information
Provider Information
NPI: 1104130608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGG
FirstName: SUYIN
MiddleName: ANNE
NamePrefix: MS.
NameSuffix:  
Credential: S.L.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 302 W 149TH ST
Address2: APT 2B
City: NEW YORK
State: NY
PostalCode: 100392928
CountryCode: US
TelephoneNumber: 9174884074
FaxNumber:  
Practice Location
Address1: 4 LORRAINE AVE
Address2:  
City: MOUNT VERNON
State: NY
PostalCode: 105531222
CountryCode: US
TelephoneNumber: 9146637070
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2010
LastUpdateDate: 07/27/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X019562-1NYY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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