Provider Demographics
NPI:1033245154
Name:ZABEK, MARTHA H (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:H
Last Name:ZABEK
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9211 KENNEDY RD
Mailing Address - Street 2:
Mailing Address - City:MARCY
Mailing Address - State:NY
Mailing Address - Zip Code:13403-2413
Mailing Address - Country:US
Mailing Address - Phone:315-534-4222
Mailing Address - Fax:315-732-1463
Practice Address - Street 1:53 NEW HARTFORD SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2144
Practice Address - Country:US
Practice Address - Phone:315-534-4222
Practice Address - Fax:315-732-1463
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015319-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist