Provider Demographics
NPI:1932345576
Name:CHAIT, ILANA (MACCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:ILANA
Middle Name:
Last Name:CHAIT
Suffix:
Gender:F
Credentials:MACCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5619
Mailing Address - Country:US
Mailing Address - Phone:718-444-4609
Mailing Address - Fax:718-444-4609
Practice Address - Street 1:1330 E 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5619
Practice Address - Country:US
Practice Address - Phone:718-444-4609
Practice Address - Fax:718-444-4609
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-04
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010950-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist