Provider Demographics
NPI:1790229789
Name:MARKEL, CHANA SARA
Entity Type:Individual
Prefix:
First Name:CHANA
Middle Name:SARA
Last Name:MARKEL
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 1:168 MORNINGSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4349
Mailing Address - Country:US
Mailing Address - Phone:212-316-8080
Mailing Address - Fax:
Practice Address - Street 1:168 MORNINGSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4349
Practice Address - Country:US
Practice Address - Phone:212-316-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024993-1235Z00000X
NJ41YS00829300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist