Provider Demographics
NPI:1487487047
Name:BOKOW, ZELDA
Entity type:Individual
Prefix:
First Name:ZELDA
Middle Name:
Last Name:BOKOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 GRANT PL
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1332
Mailing Address - Country:US
Mailing Address - Phone:516-519-4080
Mailing Address - Fax:
Practice Address - Street 1:570 GRANT PL
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1332
Practice Address - Country:US
Practice Address - Phone:516-519-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist