Healthcare Provider Details

I. General information

NPI: 1497415830
Provider Name (Legal Business Name): BILLI ASPINWALL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4557 DAVIS ST APT 709
LONG ISLAND CITY NY
11101-6382
US

IV. Provider business mailing address

4557 DAVIS ST APT 709
LONG ISLAND CITY NY
11101-6382
US

V. Phone/Fax

Practice location:
  • Phone: 860-625-1995
  • Fax:
Mailing address:
  • Phone: 860-625-1995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number033696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: