Provider Demographics
NPI:1871727040
Name:MASLOW, SHARI D (MA/CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:D
Last Name:MASLOW
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1642
Mailing Address - Country:US
Mailing Address - Phone:516-295-1732
Mailing Address - Fax:
Practice Address - Street 1:553 W BROADWAY
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1642
Practice Address - Country:US
Practice Address - Phone:516-295-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005491-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist