Provider Demographics
NPI:1740591999
Name:MARKOVICS, TAMAR YAFFA (MS, CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMAR
Middle Name:YAFFA
Last Name:MARKOVICS
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 1:857 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2913
Mailing Address - Country:US
Mailing Address - Phone:718-253-0566
Mailing Address - Fax:718-677-3971
Practice Address - Street 1:857 E 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2913
Practice Address - Country:US
Practice Address - Phone:718-253-0566
Practice Address - Fax:718-677-3971
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12105476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist