Provider Demographics
NPI:1477179299
Name:SCHULMAN, TAMAR (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TAMAR
Middle Name:
Last Name:SCHULMAN
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 1:41 BENNETT AVE APT 25
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3614
Mailing Address - Country:US
Mailing Address - Phone:201-759-1124
Mailing Address - Fax:
Practice Address - Street 1:2195 ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1303
Practice Address - Country:US
Practice Address - Phone:718-563-0473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029606235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist