Doctor Name: | MS. LENORE FRADKIN |
NPI Number: | 1508112012 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TSHH SEIT |
License Number: | |
Business Practice Address: | 40 Jon Barrett Rd Patterson, NY - 125632164 |
Business Phone Number: | 8458789078 |
Business Fax Number: | 8452786984 |
Mailing Address: | 40 Jon Barrett Rd, PATTERSON |
State: | NY |
Postal Code: | 125632164 |
Phone Number: | 8458789078 |
Fax Number: | 8452786984 |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |