Provider Demographics
NPI:1528200656
Name:FARKASH, MEITAL (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MEITAL
Middle Name:
Last Name:FARKASH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BANGOR ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6201
Mailing Address - Country:US
Mailing Address - Phone:646-667-8455
Mailing Address - Fax:
Practice Address - Street 1:827 RARITAN RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2719
Practice Address - Country:US
Practice Address - Phone:917-658-8284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist