Doctor Name: | ALEXANDRA KATIME |
NPI Number: | 1992132146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 024147 |
Business Practice Address: | 585 Stewart Ave Suite #310 Garden City, NY - 115304783 |
Business Phone Number: | 2126049360 |
Business Fax Number: | |
Mailing Address: | 2 Dogwood Ct, GLEN HEAD |
State: | NY |
Postal Code: | 115452704 |
Phone Number: | 5165780859 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2013 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 024147 |
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 |