Provider Demographics
NPI:1992086722
Name:WOLINSKY, JODI
Entity type:Individual
Prefix:MISS
First Name:JODI
Middle Name:
Last Name:WOLINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 W 21ST ST
Mailing Address - Street 2:APT. 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3112
Mailing Address - Country:US
Mailing Address - Phone:631-790-4333
Mailing Address - Fax:
Practice Address - Street 1:243 W 21ST ST
Practice Address - Street 2:APT. 2D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3112
Practice Address - Country:US
Practice Address - Phone:631-790-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist