Most Relevant Information
Provider Data
| NPI Number: | 1003050006 |
| Provider Name: | MICHELE BORNFELD MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 006667-1 |
Most Important Dates
| Enumeration Date: | 04/22/2009 |
| Last Updated: | 04/22/2009 |
Provider Practice Location
3623 AVENUE L
BROOKLYN
NY
112105445
Practice Location Phone/Fax
| Phone: | 7185311800 |
| Fax: | 7188595909 |
Provider Mailing Location
3623 AVENUE L
BROOKLYN
NY
112105445
Provider Mailing Phone/Fax
| Phone: | 7185311800 |
| Fax: | 7188595909 |