Doctor Name: | MRS. ILANITH I HAGER REUVEN |
NPI Number: | 1891934451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | NY010633-1 |
Business Practice Address: | 1800 Rockaway Avenue Hewlett, NY - 11557 |
Business Phone Number: | 9177967865 |
Business Fax Number: | |
Mailing Address: | 1038 Bay 24th Street, FAR ROCKAWAY |
State: | NY |
Postal Code: | 11691 |
Phone Number: | 9177967865 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2009 |
NPI Last Update Date: | 02/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | NY010633-1 |
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 |