Individual
AISHA C DEMOSTHENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
60 MADISON AVE, 8 FLOOR, NEW YORK, NY 10010-1600
(212) 684-0099
Mailing address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0197291
NY
Other
Enumeration date
11/04/2011
Last updated
05/21/2015
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