Doctor Name: | MICHAEL LESLIE GROSSFELD |
NPI Number: | 1245512748 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC, SLP |
License Number: | 003083-1 |
Business Practice Address: | 255 Executive Dr Suite Ll 105 Plainview, NY - 118031718 |
Business Phone Number: | 5165760962 |
Business Fax Number: | 5165769474 |
Mailing Address: | 255 Executive Dr, Suite Ll 105 PLAINVIEW |
State: | NY |
Postal Code: | 118031718 |
Phone Number: | 5165760962 |
Fax Number: | 5165769474 |
NPI Enumeration Date: | 09/12/2011 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003083-1 |
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 |