Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaime Robin Petcove, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063666238

Jaime Robin Petcove, MSCCC-SLP is a Speech-Language Pathologist in Rockville Centre, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

40 Liberty Ave
Rockville Centre, NY 11570-4311
Phone: (516) 445-9382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 014669 (NY)

Record details

NPI number1063666238
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedNovember 13, 2008
Last updated in NPPESNovember 13, 2008

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