Doctor Name: | MS. JANICE D. ELGORT-DUBROFF |
NPI Number: | 1639304025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 004062 |
Business Practice Address: | 40 Havemeyer Ln Commack, NY - 117252032 |
Business Phone Number: | 6314626241 |
Business Fax Number: | |
Mailing Address: | 40 Havemeyer Ln, COMMACK |
State: | NY |
Postal Code: | 117252032 |
Phone Number: | 6314626241 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2009 |
NPI Last Update Date: | 05/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004062 |
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 |