Provider Demographics
NPI:1699920975
Name:LAUFER, GAIL J (MA CCC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:J
Last Name:LAUFER
Suffix:
Gender:F
Credentials:MA CCC
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2350 WATERS EDGE DR
Mailing Address - Street 2:#3C
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2232
Mailing Address - Country:US
Mailing Address - Phone:917-783-5808
Mailing Address - Fax:718-631-8968
Practice Address - Street 1:2350 WATERS EDGE DR
Practice Address - Street 2:#3C
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2232
Practice Address - Country:US
Practice Address - Phone:917-783-5808
Practice Address - Fax:718-631-8968
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-30
Last Update Date:2008-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY006291-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist