Healthcare Provider Details

I. General information

NPI: 1063293819
Provider Name (Legal Business Name): AYAH ZEIN RIMAWI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HENDERSON AVE
STATEN ISLAND NY
10301-2108
US

IV. Provider business mailing address

53 MARINE AVE
BROOKLYN NY
11209-6701
US

V. Phone/Fax

Practice location:
  • Phone: 718-727-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number033697
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: