Provider Demographics
NPI:1336457274
Name:JASKIEL - SCHWARTZ, GITTY (MS , CCC - SLP)
Entity Type:Individual
Prefix:MRS
First Name:GITTY
Middle Name:
Last Name:JASKIEL - SCHWARTZ
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 1:915 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3611
Mailing Address - Country:US
Mailing Address - Phone:718-951-3705
Mailing Address - Fax:
Practice Address - Street 1:915 E 24TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3611
Practice Address - Country:US
Practice Address - Phone:718-951-3705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007121-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist