Provider Demographics
NPI:1073819355
Name:SNITOW, DINA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:
Last Name:SNITOW
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W 239TH ST
Mailing Address - Street 2:APT 6G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1207
Mailing Address - Country:US
Mailing Address - Phone:347-275-3715
Mailing Address - Fax:
Practice Address - Street 1:600 W 239TH ST
Practice Address - Street 2:APT 6G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1207
Practice Address - Country:US
Practice Address - Phone:347-275-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019558-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist