Provider Demographics
NPI:1972632578
Name:BERKOWITZ, STEVEN NEIL (SLP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:NEIL
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-6902
Mailing Address - Country:US
Mailing Address - Phone:845-357-7492
Mailing Address - Fax:
Practice Address - Street 1:43 SOMERSET DR
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-6902
Practice Address - Country:US
Practice Address - Phone:845-357-7492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006998-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist