Provider Demographics
NPI:1477276640
Name:ISAAC'S FRIENDS, INC.
Entity Type:Organization
Organization Name:ISAAC'S FRIENDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FERNANDEZ-EBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP TSSLD
Authorized Official - Phone:917-912-6590
Mailing Address - Street 1:115 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2809
Mailing Address - Country:US
Mailing Address - Phone:917-912-6590
Mailing Address - Fax:
Practice Address - Street 1:115 HIGH ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2809
Practice Address - Country:US
Practice Address - Phone:917-912-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty