Provider Demographics
NPI:1336490978
Name:ROFEIM, JASMINE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:
Last Name:ROFEIM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S MIDDLE NECK RD APT 7
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3763
Mailing Address - Country:US
Mailing Address - Phone:516-851-5232
Mailing Address - Fax:
Practice Address - Street 1:130 S MIDDLE NECK RD APT 7
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3763
Practice Address - Country:US
Practice Address - Phone:516-851-5232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-23
Last Update Date:2012-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist