Doctor Name: | MS. TANA ANDREADIS |
NPI Number: | 1114234994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 019578 |
Business Practice Address: | 10 Lake Drive Manhasset, NY - 11030 |
Business Phone Number: | 5166276391 |
Business Fax Number: | |
Mailing Address: | 10 Lake Drive, MANHASSET |
State: | NY |
Postal Code: | 11030 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |