Provider Demographics
NPI:1265853568
Name:ARANOFF, JAMIE ELISSA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELISSA
Last Name:ARANOFF
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:ELISSA
Other - Last Name:MERLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 WEEPING CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4661
Mailing Address - Country:US
Mailing Address - Phone:631-499-2024
Mailing Address - Fax:
Practice Address - Street 1:8 WEEPING CHERRY LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4661
Practice Address - Country:US
Practice Address - Phone:631-499-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018699-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist