Provider Demographics
NPI:1790921245
Name:KURTZMAN, MINDY B (MED - LICENSED SPEE)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:B
Last Name:KURTZMAN
Suffix:
Gender:F
Credentials:MED - LICENSED SPEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BARBARA LA.
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1402
Mailing Address - Country:US
Mailing Address - Phone:516-349-7041
Mailing Address - Fax:
Practice Address - Street 1:4 BARBARA LA.
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1402
Practice Address - Country:US
Practice Address - Phone:516-349-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009761235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist