Healthcare Provider Details

I. General information

NPI: 1548963259
Provider Name (Legal Business Name): ALENA MAHAS SPEECH LANGUAGE PATHOLOGY P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 AMBER LN
OYSTER BAY NY
11771-3115
US

IV. Provider business mailing address

10 AMBER LN
OYSTER BAY NY
11771-3115
US

V. Phone/Fax

Practice location:
  • Phone: 347-770-4009
  • Fax: 888-634-3483
Mailing address:
  • Phone: 347-770-4009
  • Fax: 888-634-3483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALENA MAHAS
Title or Position: FOUNDER OF ALENA MAHAS SLP, PC
Credential: MS CCC-SLP TSSLD
Phone: 718-791-5013