Healthcare Provider Details

I. General information

NPI: 1033422787
Provider Name (Legal Business Name): HOPE'S PLACE SPEECH LANGUAGE PATHOLOGY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 BIRCH DR
MANHASSET HILLS NY
11040-2321
US

IV. Provider business mailing address

145 BIRCH DR
MANHASSET HILLS NY
11040-2321
US

V. Phone/Fax

Practice location:
  • Phone: 516-877-1544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010829
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. NADIA MARKOVIC
Title or Position: CLINIC DIRECTOR
Credential: MA, CCC-SLP
Phone: 516-877-1544