MEDICARE: MISS YULIANA KRUTOY SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	021049-01	NY
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1073821732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS YULIANA KRUTOY SLP

Provider Business Mailing Address
First Line	:	1820 AVENUE N APT 6C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6169
Country	:	US
Telephone Number	:	917-609-4549
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 E 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7106
Country	:	US
Telephone Number	:	718-382-1060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2010
Last Update Date	:	12/06/2018

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Directions to “ MISS YULIANA KRUTOY SLP” Practice Location

Language	Start Address	Practice Location

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