Provider Demographics
NPI:1861862583
Name:MAHARAJ, ELIZABETH KARINE (MS, CCC-SLP/TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KARINE
Last Name:MAHARAJ
Suffix:
Gender:F
Credentials:MS, CCC-SLP/TSSLD
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:KARINE
Other - Last Name:SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP/TSSLD
Mailing Address - Street 1:54 STATE ST STE 804
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2524
Mailing Address - Country:US
Mailing Address - Phone:917-981-7975
Mailing Address - Fax:
Practice Address - Street 1:2335 GERRITSEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5701
Practice Address - Country:US
Practice Address - Phone:718-834-0597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3647834235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist