Basic Information
Provider Information
NPI: 1821367277
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAUBERMAN
FirstName: ANN
MiddleName: R
NamePrefix: MRS.
NameSuffix:  
Credential:  
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Mailing Information
Address1: 49 KINGSLEY CLOSE
Address2:  
City: IRVINGTON
State: NY
PostalCode: 105332422
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1156 N BROADWAY
Address2:  
City: YONKERS
State: NY
PostalCode: 107011108
CountryCode: US
TelephoneNumber: 9149653700
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/14/2011
LastUpdateDate: 12/14/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X007636NYY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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