Provider Demographics
NPI:1316180557
Name:ASKIENAZY, SOPHIE E (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SOPHIE
Middle Name:E
Last Name:ASKIENAZY
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 1:140 W 69TH ST APT 45B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5167
Mailing Address - Country:US
Mailing Address - Phone:917-441-7662
Mailing Address - Fax:
Practice Address - Street 1:140 W 69TH ST APT 45B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5167
Practice Address - Country:US
Practice Address - Phone:917-441-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015403-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist