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NPI 1245868140

NPI 1245868140 : NY SPEAKS : MEDFORD, NY

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General NPI Number Information
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    NPI Number           |    1245868140
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    Entity Type          |    Organization 
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    Legal Business Name  |    NY SPEAKS 
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Dates
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    Enumeration Date     |    03/28/2020
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    Last Update Date     |    08/20/2020
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Provider Practice Location Address
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    Address Line         |    46 SYRACUSE AVE 
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    City                 |    MEDFORD
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    State                |    NY
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    Zip                  |    11763-3621
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    Country              |    US
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    Telephone            |    917-826-9007
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    46 SYRACUSE AVE 
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    City                 |    MEDFORD
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    State                |    NY
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    Zip                  |    11763-3621
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    Country              |    US
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    Telephone            |    917-826-9007
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR/BILINGUAL SLP
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    Name                 |    MRS. SELENE  YOEL 
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    Credential           |    MS CCC-SLP, TSSLD-BE
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    Telephone            |    917-826-9007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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