Provider Demographics
NPI:1457494635
Name:SZNOL, HEATHER ILENE (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ILENE
Last Name:SZNOL
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ILENE
Other - Last Name:WENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:475 NORTHERN BLVD STE 23
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4802
Mailing Address - Country:US
Mailing Address - Phone:516-504-0379
Mailing Address - Fax:
Practice Address - Street 1:475 NORTHERN BLVD STE 23
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4802
Practice Address - Country:US
Practice Address - Phone:516-504-0379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002036-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM7693M0132Medicare PIN