MEDICARE: MR. YAN SAGALOV CCC-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		NY

General Provider Information

NPI Number	:	1477234326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YAN SAGALOV CCC-SLP

Provider Business Mailing Address
First Line	:	3111 OCEAN PKWY APT 6D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8442
Country	:	US
Telephone Number	:	646-379-2703
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 ROCKAWAY PKWY RM 128
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4318
Country	:	US
Telephone Number	:	646-379-2703
Fax Number	:

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

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	07/25/2023

Similar Medicare Providers

1447517412 — MISS KATHLEEN ELIZABETH MCGARTY RN
Practice Location Address:

1600 ROCKAWAY PKWY
BROOKLYN, NY
11236-4318

Practice Phone: 718-290-8600
Practice Fax:

1427403179 — LISA MASON MS, OTR/L
Practice Location Address:

1600 ROCKAWAY PKWY
BROOKLYN, NY
11236-4318

Practice Phone: 718-290-8640
Practice Fax:

1003360728 — MISS ALYSSA MARIE DEPAOLIS
Practice Location Address:

1600 ROCKAWAY PKWY
BROOKLYN, NY
11236-4318

Practice Phone: 718-290-8600
Practice Fax:

1306624226 — MRS. KRISTEN MAZZIO-PIAZZA
Practice Location Address:

1600 ROCKAWAY PKWY
BROOKLYN, NY
11236-4318

Practice Phone: 646-844-4910
Practice Fax:

1083866750 — MRS. LANA S MILLS
Practice Location Address:

542 E 48TH ST
BROOKLYN, NY
11203-4318

Practice Phone: 347-835-2176
Practice Fax:

1598087272 — VIJAY KUMAR PAMIDIMUKKALA
Practice Location Address:

4318 13TH AVE
BROOKLYN, NY
11219-1338

Practice Phone: 718-686-0047
Practice Fax: 718-686-0166

Directions to “ MR. YAN SAGALOV CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.