Provider Demographics
NPI:1295035277
Name:FOX, JUDITH A
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:A
Last Name:FOX
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:FOX-MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:385 S END AVE
Mailing Address - Street 2:6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1038
Mailing Address - Country:US
Mailing Address - Phone:917-414-3485
Mailing Address - Fax:
Practice Address - Street 1:385 S END AVE
Practice Address - Street 2:6F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1038
Practice Address - Country:US
Practice Address - Phone:917-414-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001380-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist