Provider Demographics
NPI:1881962678
Name:BERKOWITZ, SHARI SALZHAUER (CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:SALZHAUER
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7534 BELL BLVD
Mailing Address - Street 2:APT 4A
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3454
Mailing Address - Country:US
Mailing Address - Phone:917-692-5085
Mailing Address - Fax:
Practice Address - Street 1:555 BROADWAY
Practice Address - Street 2:MERCY COLLEGE MAIN HALL G14B
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1186
Practice Address - Country:US
Practice Address - Phone:914-674-7214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011047-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist