Provider Demographics
NPI:1669111662
Name:PRIZANT, MEIRA (CF-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:MEIRA
Middle Name:
Last Name:PRIZANT
Suffix:
Gender:F
Credentials:CF-SLP, TSSLD
Other - Prefix:
Other - First Name:MEIRA
Other - Middle Name:
Other - Last Name:LEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14723 70TH RD APT 3
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1740
Mailing Address - Country:US
Mailing Address - Phone:516-567-5890
Mailing Address - Fax:
Practice Address - Street 1:10 AMBER LN
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-3115
Practice Address - Country:US
Practice Address - Phone:718-791-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist