Individual provider Active NPI

Laurie Kanzer, M.S., SLP, CCC

  • Speech-Language Pathologist
  • Long Island City, NY
National Provider Identifier
1952555138
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013636 Issued in NY
Practice address
3636 10TH St
Long Island City, NY 11106-5112
Phone
(718) 361-7464
Fax
(718) 361-7464
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013636 NY Primary

Addresses

Primary practice location

3636 10TH St
Long Island City, NY 11106-5112

Mailing address

110 Birchwood Park Dr
Jericho, NY 11753-2206
Phone (516) 465-3482

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013636NYMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1952555138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532206",
            "telephone_number": "516-465-3482",
            "fax_number": "516-465-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 10TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065112",
            "telephone_number": "718-361-7464",
            "fax_number": "718-361-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZER",
        "first_name": "LAURIE",
        "credential": "M.S., SLP, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.