Healthcare Provider Details

I. General information

NPI: 1720982747
Provider Name (Legal Business Name): SPEECH COMUNIDAD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 KENT CT.
MIDDLETOWN NY
10940
US

IV. Provider business mailing address

36 KENT CT.
MIDDLETOWN NY
10940
US

V. Phone/Fax

Practice location:
  • Phone: 646-373-8281
  • Fax:
Mailing address:
  • Phone: 646-373-8281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CYNTHIA M. QUIJANO-SOTO
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP, TSSLD
Phone: 646-373-8281