MEDICARE: MS. ELENA CAFFENTZIS M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	011659-1	NY

General Provider Information

NPI Number	:	1104292614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELENA CAFFENTZIS M.S.

Provider Business Mailing Address
First Line	:	111 N CENTRAL AVE
Second Line	:	SUITE 300
City	:	HARTSDALE
State	:	NY
Zip	:	10530-1903
Country	:	US
Telephone Number	:	914-907-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 ROUND HILL RD
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-3305
Country	:	US
Telephone Number	:	914-907-7231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	09/26/2023

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