| Doctor Name: | ALAN MARC RODIN |
| NPI Number: | 1982702049 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | S.L.P., M.A., C.C.C. |
| License Number: | 005002-1 |
| Business Practice Address: | 154 Beach 124th St Belle Harbor, NY - 116941840 |
| Business Phone Number: | 9177424089 |
| Business Fax Number: | 7184746655 |
| Mailing Address: | Po Box 920181, ARVERNE |
| State: | NY |
| Postal Code: | 116920181 |
| Phone Number: | 9177424089 |
| Fax Number: | 7184743733 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 09/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 005002-1 |
| 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 |