Most Relevant Information
Provider Data
| NPI Number: | 1003498742 |
| Provider Name: | AVITAL SHADOVITZ |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2021 |
| Last Updated: | 04/22/2021 |
Provider Practice Location
386 ROUTE 59
AIRMONT
NY
109523428
Practice Location Phone/Fax
| Phone: | 8453687927 |
| Fax: |
Provider Mailing Location
20 VOYAGER CT
MONSEY
NY
109521647
Provider Mailing Phone/Fax
| Phone: | 3233165113 |
| Fax: |