Individual
AIDA BAHRAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP-CCC TSSLD-BE
Contact information
Practice address
2750 LAFAYETTE AVE, BRONX, NY 10465-2210
(908) 455-0316
Mailing address
50 PLANTATION RD, WHITEHOUSE STATION, NJ 08889-3207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031146-01
NY
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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