Provider Demographics
NPI:1285875393
Name:RABINOWITZ, ALLAN JAY (PD MA CCC/SLP)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:JAY
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:PD MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 CRESCENT DRIVE
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804
Mailing Address - Country:US
Mailing Address - Phone:516-755-4041
Mailing Address - Fax:631-390-8628
Practice Address - Street 1:2 OVERHILL ROAD
Practice Address - Street 2:SUITE 280
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-722-2467
Practice Address - Fax:212-679-7807
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist