Individual
BLAINE TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
39 SMITH AVE, MOUNT KISCO, NY 10549-2838
(914) 244-9600
Mailing address
741 N BROADWAY APT 2B, HASTINGS ON HUDSON, NY 10706-1022
(914) 393-3603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028837
NY
Other
Enumeration date
05/11/2020
Last updated
11/15/2023
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