Provider Demographics
NPI:1083869176
Name:ZUPKOFF, LINDA DEE (SLP,PC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:DEE
Last Name:ZUPKOFF
Suffix:
Gender:F
Credentials:SLP,PC
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:ZUPKOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP, PC
Mailing Address - Street 1:245 PEPPERIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2748
Mailing Address - Country:US
Mailing Address - Phone:516-295-4299
Mailing Address - Fax:516-569-6167
Practice Address - Street 1:245 PEPPERIDGE RD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2748
Practice Address - Country:US
Practice Address - Phone:516-295-4299
Practice Address - Fax:516-569-6167
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist