Provider Demographics
NPI:1851545040
Name:LEFKOWITZ, PAMELA D (SLP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:D
Last Name:LEFKOWITZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SMITH HILL RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7723
Mailing Address - Country:US
Mailing Address - Phone:845-357-2040
Mailing Address - Fax:
Practice Address - Street 1:113 SMITH HILL RD
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-7723
Practice Address - Country:US
Practice Address - Phone:914-629-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008524235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist