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JACKLYN DAVIDOV
NPI 1487910915
Speech-Language Pathologist in Jamaica, NY

Active since April 10, 2012
9004 161ST ST, SUITE 304, JAMAICA, NY 11432(718) 206-1000(718) 206-1077 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacklyn Davidov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN DAVIDOV (NPI 1487910915) is an individual speech-language pathologist provider in Jamaica, New York and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1487910915
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACKLYN DAVIDOV
Location Address9004 161ST ST, SUITE 304Jamaica, NY 11432-6141
Mailing Address7238 Main StFlushing, NY 11367-2408 · (718) 851-3300 · Fax (718) 261-3702
Phone(718) 206-1000
Fax(718) 206-1077
Sole ProprietorNo
Enumeration DateApril 10, 2012
Last NPPES UpdateSeptember 11, 2019
✔ NPI 1487910915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
9004 161ST ST, Jamaica, NY 11432
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE LI-GAMBINO
Case Manager/Care Coordinator
9004 161ST ST, SUITE 304
JAMAICA, NY 11432
Queens County (718) 206-1000
SALEHA KHATUN
Case Manager/Care Coordinator
9004 161ST ST
JAMAICA, NY 11432
Queens County (718) 206-1000
DEVANIS GUERRERO
Case Manager/Care Coordinator
9004 161ST ST
JAMAICA, NY 11432
Queens County (718) 206-1000
YESSENIA GARCIA
Case Manager/Care Coordinator
9004 161ST ST
JAMAICA, NY 11432
Queens County (718) 206-1000
MS. ANJULA KUMAR
Case Manager/Care Coordinator
9004 161ST ST, 304
JAMAICA, NY 11432
Queens County (718) 206-1000
ELOISA GUZMAN-RODRIGUEZ
Case Manager/Care Coordinator
9004 161ST ST, SUITE 304
JAMAICA, NY 11432
Queens County (718) 206-1000
DENISE LUZAIC
Case Manager/Care Coordinator
9004 161ST ST, STE 304
JAMAICA, NY 11432
Queens County (718) 206-1000
MS. SAMANTHA BENOIT
Case Manager/Care Coordinator
9004 161ST ST, SUITE 304
JAMAICA, NY 11432
Queens County (718) 206-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Davidov's NPI number?

The NPI number for Jacklyn Davidov is 1487910915. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Jacklyn Davidov located?

Jacklyn Davidov practices at 9004 161st St Suite 304, Jamaica, NY 11432. The listed phone number is (718) 206-1000.

What is Jacklyn Davidov's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Davidov was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.