Provider Demographics
NPI:1386952760
Name:SCHIFF, AMBER-DAWN MONDEJAR (SLP CFY)
Entity type:Individual
Prefix:MS
First Name:AMBER-DAWN
Middle Name:MONDEJAR
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:SLP CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 DERBY AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2740
Mailing Address - Country:US
Mailing Address - Phone:917-344-9381
Mailing Address - Fax:
Practice Address - Street 1:805 KENT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1517
Practice Address - Country:US
Practice Address - Phone:718-473-3808
Practice Address - Fax:718-483-9335
Is Sole Proprietor?:No
Enumeration Date:2010-09-19
Last Update Date:2010-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396534101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist