Provider Demographics
NPI:1992945026
Name:BAROUDI-REMMAK, NAIMA (MA/CCC/SLP/TSHH)
Entity type:Individual
Prefix:MRS
First Name:NAIMA
Middle Name:
Last Name:BAROUDI-REMMAK
Suffix:
Gender:F
Credentials:MA/CCC/SLP/TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6103
Mailing Address - Country:US
Mailing Address - Phone:718-290-2700
Mailing Address - Fax:718-290-2800
Practice Address - Street 1:1723 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6103
Practice Address - Country:US
Practice Address - Phone:718-290-2700
Practice Address - Fax:718-290-2800
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2009-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0154401235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY235Z00000XOtherNY