Provider Demographics
NPI:1790043578
Name:SCHWARTZ, SUZANNE ELANA I (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:ELANA
Last Name:SCHWARTZ
Suffix:I
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:SUZANNE
Other - Middle Name:ELANA
Other - Last Name:ALYESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:313 CARVEL AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1421
Mailing Address - Country:US
Mailing Address - Phone:718-677-0807
Mailing Address - Fax:
Practice Address - Street 1:313 CARVEL AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1421
Practice Address - Country:US
Practice Address - Phone:718-677-0807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016707-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist