Provider Demographics
NPI:1912243973
Name:METZ, SARA ROSE (MA CFY-SLP)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:ROSE
Last Name:METZ
Suffix:
Gender:F
Credentials:MA CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DAVISON CT
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1506
Mailing Address - Country:US
Mailing Address - Phone:516-459-2056
Mailing Address - Fax:
Practice Address - Street 1:207 CROCUS AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2427
Practice Address - Country:US
Practice Address - Phone:516-459-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist