Provider Demographics
NPI:1770890766
Name:HOLLANDER, SIMA RACHEL (CCC-SLP)
Entity type:Individual
Prefix:
First Name:SIMA
Middle Name:RACHEL
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:SIMA
Other - Middle Name:RACHEL
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:14739 75TH RD
Mailing Address - Street 2:APT. 2A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-5902
Mailing Address - Country:US
Mailing Address - Phone:718-263-1547
Mailing Address - Fax:
Practice Address - Street 1:1575 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5512
Practice Address - Country:US
Practice Address - Phone:718-375-8885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-11
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018288235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist