Provider Demographics
NPI:1689829566
Name:SATIR, ROXANA ELVIR
Entity Type:Individual
Prefix:MS
First Name:ROXANA
Middle Name:ELVIR
Last Name:SATIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 WESTERVELT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2223
Mailing Address - Country:US
Mailing Address - Phone:516-868-3646
Mailing Address - Fax:
Practice Address - Street 1:1691 WESTERVELT AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2223
Practice Address - Country:US
Practice Address - Phone:516-868-3646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006128235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist