Provider Demographics
NPI:1205355203
Name:POLITZER, ALIZAH (SLP MS)
Entity type:Individual
Prefix:MRS
First Name:ALIZAH
Middle Name:
Last Name:POLITZER
Suffix:
Gender:F
Credentials:SLP MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 NEILSON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5005
Mailing Address - Country:US
Mailing Address - Phone:917-842-5894
Mailing Address - Fax:
Practice Address - Street 1:1031 NEILSON ST APT 2
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5005
Practice Address - Country:US
Practice Address - Phone:917-842-5894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist