Provider Demographics
NPI:1588818041
Name:NACHTIGAL ROTHSCHILD, LORI (MS SLP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:NACHTIGAL ROTHSCHILD
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:J
Other - Last Name:NACHTIGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SLP
Mailing Address - Street 1:245 E 63RD ST
Mailing Address - Street 2:APT 918
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7466
Mailing Address - Country:US
Mailing Address - Phone:917-650-8100
Mailing Address - Fax:
Practice Address - Street 1:245 E 63RD ST
Practice Address - Street 2:APT 918
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7466
Practice Address - Country:US
Practice Address - Phone:917-650-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008184-1235Z00000X
NJ41YS00454900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist