Diane Depaz-El-Sawaf

Individual provider Active NPI Speech-Language Pathologist · Douglaston, NY

NPI 1306154406 · NPPES record last updated Sep 23, 2010

Key facts

NPI
1306154406
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
005999-1 (NY)
Practice address
363 Manor Rd
Douglaston, NY 11363-1115
Phone
(718) 428-4455
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
005999-1NYMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 005999-1 NY Yes

Addresses

Primary practice location

363 Manor Rd
Douglaston, NY 11363-1115

Mailing address

363 Manor Rd
Douglaston, NY 11363-1115
Phone (718) 428-4455

Other providers in Douglaston, NY

All providers in Douglaston, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.