Healthcare Provider Details

I. General information

NPI: 1033701461
Provider Name (Legal Business Name): MIKELA MONIKA GARCIA CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 5TH AVE FL 4
NEW YORK NY
10017-8020
US

IV. Provider business mailing address

535 5TH AVE FL 4
NEW YORK NY
10017-8020
US

V. Phone/Fax

Practice location:
  • Phone: 718-948-1900
  • Fax:
Mailing address:
  • Phone: 718-948-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI4703
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: