MEDICARE: ROSALIND KAY SAFIR M.A.

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	018403-1	NY

General Provider Information

NPI Number	:	1700152493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIND KAY SAFIR M.A.

Provider Business Mailing Address
First Line	:	71 CLINTON RD
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-9195
Country	:	US
Telephone Number	:	516-396-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 NORTH JERUSALEM RD
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793
Country	:	US
Telephone Number	:	516-396-2600
Fax Number	:

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

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	03/27/2012

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