Irene Victoria Salek-Raham, MS.LIC/CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006657 Issued in NY

Practice address

280 Central Ave
Thompson Hall -Suny Fredonia
Fredonia, NY 14063-1127

Phone

(716) 673-3203

NPI assigned

Jan 3, 2008

Last updated

Jan 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1891970380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CENTRAL AVE",
            "address_2": "THOMPSON HALL -SUNY FREDONIA",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631127",
            "telephone_number": "716-673-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CENTRAL AVE",
            "address_2": "THOMPSON HALL -SUNY FREDONIA",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631127",
            "telephone_number": "716-673-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEK-RAHAM",
        "first_name": "IRENE",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "MS.LIC/CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rudloff, PA-C
• Russell J Dipalma DDS PC
• Bridget Anne Russell, PHD CCC-SLP
• Jillian D. Ryan, OTR
• Tracey Sakpal
• Warren P. Sanderson, RN
• Bryce Henry Schnaars, DPT
• Bethany Sciarrino, DPT
• Sensible Transportation LLC (Sensible Transportation)
• Pujan Shrestha, MD

• Speech-Language Pathologist in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.