Provider Demographics
NPI:1992843536
Name:KRIVIT, FRAN BERNSTEIN (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:FRAN
Middle Name:BERNSTEIN
Last Name:KRIVIT
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 1:486 BERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-1103
Mailing Address - Country:US
Mailing Address - Phone:516-624-0973
Mailing Address - Fax:516-624-2442
Practice Address - Street 1:486 BERRY HILL RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-1103
Practice Address - Country:US
Practice Address - Phone:516-624-0973
Practice Address - Fax:516-624-2442
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008119-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist