Provider Demographics
NPI:1629716337
Name:SHAJNFELD, JOSEPH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:SHAJNFELD
Suffix:
Gender:M
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 1:8023 GRENFELL ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1018
Mailing Address - Country:US
Mailing Address - Phone:917-941-1425
Mailing Address - Fax:
Practice Address - Street 1:3352 OLINVILLE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6312
Practice Address - Country:US
Practice Address - Phone:718-652-3461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031876235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist