Provider Demographics
NPI:1275788523
Name:SEKORA PINKAS, ALISON
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SEKORA PINKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:SEKORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10914 ASCAN AVE
Mailing Address - Street 2:APT 4A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5370
Mailing Address - Country:US
Mailing Address - Phone:516-410-3564
Mailing Address - Fax:
Practice Address - Street 1:109-14 ASCAN AVE
Practice Address - Street 2:4A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:516-410-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-28
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018015-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist