Provider Demographics
NPI:1083599898
Name:KHAMIS-DAKWAR, RIM (PHD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RIM
Middle Name:
Last Name:KHAMIS-DAKWAR
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:DR
Other - First Name:RIM
Other - Middle Name:
Other - Last Name:KHAMIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:510 W 123RD ST APT 26
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5004
Mailing Address - Country:US
Mailing Address - Phone:646-344-0162
Mailing Address - Fax:
Practice Address - Street 1:510 W 123RD ST APT 26
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5004
Practice Address - Country:US
Practice Address - Phone:646-344-0162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016555235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist