Provider Demographics
NPI:1942455035
Name:KRAMER DUBE, NINA PAULA (MSCCCSLP TSHH)
Entity type:Individual
Prefix:MISS
First Name:NINA
Middle Name:PAULA
Last Name:KRAMER DUBE
Suffix:
Gender:F
Credentials:MSCCCSLP TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10114 SHORE FRONT PKWY
Mailing Address - Street 2:UNIT A
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-2864
Mailing Address - Country:US
Mailing Address - Phone:917-991-3739
Mailing Address - Fax:718-360-9409
Practice Address - Street 1:10114 SHORE FRONT PKWY
Practice Address - Street 2:UNIT A
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-2864
Practice Address - Country:US
Practice Address - Phone:917-991-3739
Practice Address - Fax:718-360-9409
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000932235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist