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General NPI Number Information
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NPI Number | 1396363016
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Entity Type | Organization
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Legal Business Name | NY SLP SERVICES PC
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 6103 STRICKLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-6408
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Country | US
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Telephone | 646-533-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 425 NEPTUNE AVE APT 23B
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City | BROOKLYN
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State | NY
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Zip | 11224-4589
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Country | US
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Telephone | 646-533-2099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GABRIELLE HELLEN SHNAYDERMAN
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Credential | SLP
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Telephone | 646-533-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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