Provider Demographics
NPI:1689222002
Name:AYMAN, PHYLLIS (MS SLP, TSHH)
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:
Last Name:AYMAN
Suffix:
Gender:F
Credentials:MS SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PURCHASE ST STE 9
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2143
Mailing Address - Country:US
Mailing Address - Phone:914-961-2600
Mailing Address - Fax:
Practice Address - Street 1:150 PURCHASE ST STE 9
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2143
Practice Address - Country:US
Practice Address - Phone:914-921-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001733235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist