IRINA RAFAELOV (NPI# 1700306875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700306875 |
| Entity Type | Individual |
| Full Name | IRINA RAFAELOV |
| Practice Address |
2987 Frederick Douglass Blvd New York NY 10039-1324 |
| Mailing Address |
5028 Utopia Pkwy Fresh Meadows NY 11365-1633 |
| Practice Telephone | 2123601519 |
| Mailing Telephone | 3479884477 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 026541 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
2987 FREDERICK DOUGLASS BLVD |
| City | NEW YORK |
| State | NY |
| Zip Code | 10039-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275015265 | Ariel Yadaie | Speech-Language Pathologist | 2987 Frederick Douglass Blvd, New York, NY 10039-1324 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280117 | Princess Nailah Blackwell | Licensed Practical Nurse | 2844 Fredrick Douglas Blvd, Apt# 5c, New York, NY 10039 | 2020-09-21 |
| 1265927701 | Samara L Pelt | Behavioral Analyst | 700 Lenox Ave Apt 6e, New York, NY 10039 | 2018-06-27 |
| 1245774827 | Celeste Elena Simpson | Speech-Language Pathologist | 2589 Seventh Ave, P.s. 200 The James Mccune Smith School, New York, NY 10039 | 2016-12-15 |
| 1902268840 | Rangel Pharmacy Inc | Pharmacy | 159 12 Harlem River Dr, New York, NY 10039 | 2016-03-21 |
| 1407212319 | Daphney Nicolas | Early Intervention Provider Agency | 271 West 146 Street Apt #9, New York, NY 10039 | 2016-01-07 |
| 1598152555 | Elizabeth Dorcena-jeune | Physician Assistant | 2698 Fredrick Douglass Boulevard, New York, NY 10039 | 2015-04-16 |
| 1083021133 | Andrea Kermack | Internal Medicine | 804 E 138th, Bronx, NY 10039 | 2014-07-21 |
| 1528335577 | Carlos Rafael Rodriguez | Internal Medicine | 2771 Frederick Douglass, New York, NY 10039 | 2011-11-18 |
| 1548578305 | Gspm Pharmacy Inc | Pharmacy | 2830 8th Ave, Pharmacy, New York, NY 10039 | 2010-09-15 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
| Find all providers in zip 10039 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689490 | Rebecca Papa | Speech-Language Pathologist | 219 E 66th St Apt 2a, New York, NY 10065-6430 | 2020-11-08 |
| 1942800024 | Carla D Gottlich | Speech-Language Pathologist | 201 E 69th St Apt 3n, New York, NY 10021-5481 | 2020-10-28 |
| 1417554239 | Natalia Monterroso | Speech-Language Pathologist | 616 W 137th St Apt 5c, New York, NY 10031-8013 | 2020-10-05 |
| 1114533684 | Catherine Marcelino | Speech-Language Pathologist | 119 W 71st St Apt B, New York, NY 10023-3876 | 2020-09-21 |
| 1699381384 | Johanna Stadtmauer | Speech-Language Pathologist | 2589 7th Ave, New York, NY 10039-2619 | 2020-09-18 |
| 1306458427 | Kim Fiorentino | Speech-Language Pathologist | 320 E 9th St Apt 503, New York, NY 10003-0010 | 2020-08-19 |
| 1215546684 | Jordyn Nusynowitz | Speech-Language Pathologist | 200 E 33rd St Apt 21d, New York, NY 10016-4830 | 2020-07-30 |
| 1205444593 | Lindsay Sarah Wasserman | Speech-Language Pathologist | 4280 Broadway Fl 2, New York, NY 10033-3732 | 2020-07-22 |
| 1891312914 | Siomerquis Mercedes Astacio Garcia | Speech-Language Pathologist | 565 Academy St Apt 25, New York, NY 10034-5134 | 2020-07-06 |
| 1770109209 | Michell Siano | Speech-Language Pathologist | 300 W 145th St Apt 5d, New York, NY 10039-3145 | 2020-06-20 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.