Provider Demographics
NPI:1871840819
Name:PINCUS, KAREN LEE (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEE
Last Name:PINCUS
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:BERNSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC/SLP
Mailing Address - Street 1:59 FLORAL DR W
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2935
Mailing Address - Country:US
Mailing Address - Phone:516-822-1516
Mailing Address - Fax:
Practice Address - Street 1:59 FLORAL DR W
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2935
Practice Address - Country:US
Practice Address - Phone:516-822-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003506-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist