Provider Demographics
NPI:1972740793
Name:DOLMAN-RUBIN, SONDRA HOPE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:HOPE
Last Name:DOLMAN-RUBIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2308
Mailing Address - Country:US
Mailing Address - Phone:914-762-0909
Mailing Address - Fax:
Practice Address - Street 1:15 MAPLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-2308
Practice Address - Country:US
Practice Address - Phone:914-762-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008717-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist