Provider Demographics
NPI:1407091358
Name:POSNER, KIMBERLEE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:
Last Name:POSNER
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 1:400 E 89TH ST APT 5M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6734
Mailing Address - Country:US
Mailing Address - Phone:917-853-3775
Mailing Address - Fax:
Practice Address - Street 1:400 E 89TH ST APT 5M
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6734
Practice Address - Country:US
Practice Address - Phone:917-853-3775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-06
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012070235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist