Provider Demographics
NPI:1487890885
Name:MASLIN, ABBIE GAIL
Entity type:Individual
Prefix:MRS
First Name:ABBIE
Middle Name:GAIL
Last Name:MASLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:GAIL
Other - Last Name:TANEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 E BETHPAGE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4228
Mailing Address - Country:US
Mailing Address - Phone:516-833-7893
Mailing Address - Fax:516-833-7894
Practice Address - Street 1:125 E BETHPAGE RD STE 5
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4228
Practice Address - Country:US
Practice Address - Phone:516-833-7893
Practice Address - Fax:516-833-7894
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012310-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist