Provider Demographics
NPI:1679771869
Name:KALFUR, MONICA C (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:C
Last Name:KALFUR
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 1:257 BEACH 127TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLE HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1728
Mailing Address - Country:US
Mailing Address - Phone:718-634-9633
Mailing Address - Fax:
Practice Address - Street 1:257 BEACH 127TH ST
Practice Address - Street 2:
Practice Address - City:BELLE HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11694-1728
Practice Address - Country:US
Practice Address - Phone:718-634-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2016-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11466OtherLICENSE NUMBER