Provider Demographics
NPI:1184980328
Name:SHEILA DEFORD COFIELD SLP, P.C.
Entity type:Organization
Organization Name:SHEILA DEFORD COFIELD SLP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:D
Authorized Official - Last Name:COFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-645-0961
Mailing Address - Street 1:37 ELDRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-2308
Mailing Address - Country:US
Mailing Address - Phone:347-645-0961
Mailing Address - Fax:718-715-0266
Practice Address - Street 1:37 ELDRIDGE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-2308
Practice Address - Country:US
Practice Address - Phone:347-645-0961
Practice Address - Fax:718-715-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004857252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency