MARY SIRAGUSA RN
NPI 1063787869
Registered Nurse - School in Staten Island, NY

Q: What is Mary Siragusa's NPI number?

The NPI number for Mary Siragusa is 1063787869. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Q: What is Mary Siragusa's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Siragusa was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2012

4108 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 698-1530(718) 982-9798 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Siragusa Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SIRAGUSA RN (NPI 1063787869) is an individual school provider in Staten Island, New York, licensed in New York (22317601) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1063787869

Entity TypeIndividualFemale

Primary Taxonomy163WS0200X

Provider Legal NameMARY SIRAGUSACredential: RN

Location Address4108 VICTORY BLVDStaten Island, NY 10314-6743

Mailing Address4108 Victory BlvdStaten Island, NY 10314-6743 · (718) 698-1530 · Fax (718) 982-9798

Phone(718) 698-1530

Fax(718) 982-9798

Sole ProprietorYes

Enumeration DateMarch 13, 2012

✔ NPI 1063787869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers

Taxonomy Code163WS0200X

License✔ Licensed in NY · 22317601

4108 VICTORY BLVD, Staten Island, NY 10314

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KATERINA THEODORACOPOULOS CCC-SLP

Speech-Language Pathologist

4108 VICTORY BLVD
STATEN ISLAND, NY 10314

Richmond County (917) 975-0593

KAITLYN MARIE KIEFER CCC-SLP

Speech-Language Pathologist

4108 VICTORY BLVD
STATEN ISLAND, NY 10314

Richmond County (929) 464-2438

KAYLEE RITCHIE CCC-SLP

Speech-Language Pathologist

4108 VICTORY BLVD
STATEN ISLAND, NY 10314

Richmond County (718) 504-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Siragusa's NPI number?

The NPI number for Mary Siragusa is 1063787869. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Mary Siragusa located?

Mary Siragusa practices at 4108 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 698-1530.

What is Mary Siragusa's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Mary Siragusa was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.