Provider Demographics
NPI:1154576833
Name:NIHEN, ELAINE M (MS CCC- SLP)
Entity type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:M
Last Name:NIHEN
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 1:6 TWEEN CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1614
Mailing Address - Country:US
Mailing Address - Phone:631-366-2087
Mailing Address - Fax:
Practice Address - Street 1:560 UNION BLVD
Practice Address - Street 2:OUT PATIENT REHABILITATION
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795
Practice Address - Country:US
Practice Address - Phone:631-474-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-23
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019138235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist