Provider Demographics
NPI:1891996260
Name:STRASBERG, MALKA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MALKA
Middle Name:
Last Name:STRASBERG
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 COLUMBUS AVE
Mailing Address - Street 2:APT 1S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5150
Mailing Address - Country:US
Mailing Address - Phone:917-825-9745
Mailing Address - Fax:646-386-9422
Practice Address - Street 1:83 EAST AVE
Practice Address - Street 2:SUITE 313
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4902
Practice Address - Country:US
Practice Address - Phone:203-854-9845
Practice Address - Fax:203-853-2078
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003808235Z00000X
NY014879-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist