Doctor Name: | MS. EUNICE MARGOT PIVOVITSCH |
NPI Number: | 1740426600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P.-CCC |
License Number: | 012928 |
Business Practice Address: | 2 Roosevelt Avenue Suite 300 Cooper Kids Therapy Associates Syosset, NY - 11791 |
Business Phone Number: | 5164964460 |
Business Fax Number: | 5169214432 |
Mailing Address: | 173-15 Jewel Avenue, FLUSHING |
State: | NY |
Postal Code: | 11365 |
Phone Number: | 7183804155 |
Fax Number: | 7183807311 |
NPI Enumeration Date: | 12/26/2008 |
NPI Last Update Date: | 12/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 012928 |
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 |