Provider Demographics
NPI:1932332491
Name:SOLOW, JILL (MA, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:SOLOW
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 EAST 71ST STREET
Mailing Address - Street 2:APT 3J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:516-476-9505
Mailing Address - Fax:
Practice Address - Street 1:230 E 71ST ST
Practice Address - Street 2:APT 3J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5130
Practice Address - Country:US
Practice Address - Phone:516-476-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017852235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist