Provider Demographics
NPI:1376182287
Name:ZANGER, JAMIE ADENA (SLP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ADENA
Last Name:ZANGER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:ADENA
Other - Last Name:STEINMETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7109 147TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2003
Mailing Address - Country:US
Mailing Address - Phone:516-780-1874
Mailing Address - Fax:
Practice Address - Street 1:49 MONTROSE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2580
Practice Address - Country:US
Practice Address - Phone:718-473-3808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029352235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist