Provider Demographics
NPI:1164256566
Name:MAKIN, EMMA CAROLYN (MA CF-SLP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CAROLYN
Last Name:MAKIN
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8548 67TH RD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5216
Mailing Address - Country:US
Mailing Address - Phone:917-828-2275
Mailing Address - Fax:
Practice Address - Street 1:8814 JUSTICE AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4686
Practice Address - Country:US
Practice Address - Phone:718-271-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist