Healthcare Provider Details

I. General information

NPI: 1720904667
Provider Name (Legal Business Name): ALIZA WEINSTOCK CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALIZA MEISELS

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VAN WINKLE RD
MONSEY NY
10952-1331
US

IV. Provider business mailing address

1045 E 24TH ST
BROOKLYN NY
11210-3639
US

V. Phone/Fax

Practice location:
  • Phone: 347-491-3627
  • Fax:
Mailing address:
  • Phone: 347-491-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8445
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: