Provider Demographics
NPI:1154566990
Name:BOJMAN, ALIZA F (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALIZA
Middle Name:F
Last Name:BOJMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4631
Mailing Address - Country:US
Mailing Address - Phone:718-951-2257
Mailing Address - Fax:718-951-4919
Practice Address - Street 1:1230 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4631
Practice Address - Country:US
Practice Address - Phone:718-951-2257
Practice Address - Fax:718-951-4919
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009540-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist