Individual provider · Type 1 NPI

Dora Nisimov

Speech-Language Pathologist · Woodside, NY

NPI number 1245748003 Active

Practice location

4277 65th Pl
Woodside, NY 11377-5054

Mailing address

8529 122nd St
Kew Gardens, NY 11415-3231

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1245748003

Dora Nisimov's National Provider Identifier is 1245748003, issued on Jan 15, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Woodside, NY. The record was last updated on Jan 15, 2018.