Provider Demographics
NPI:1669623534
Name:POMERANTZ, CASEY SARAH (MA)
Entity type:Individual
Prefix:MISS
First Name:CASEY
Middle Name:SARAH
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 W END AVE APT C11B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7861
Mailing Address - Country:US
Mailing Address - Phone:561-315-5428
Mailing Address - Fax:
Practice Address - Street 1:75 W END AVE APT C11B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7861
Practice Address - Country:US
Practice Address - Phone:561-315-5428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist