MEDICARE: MANITA SPEECH PATHOLOGY, P.C.

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	252Y00000X	Early Intervention Provider Agency	020522	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912415134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANITA SPEECH PATHOLOGY, P.C.

Provider Business Mailing Address
First Line	:	3508 FILLMORE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4832
Country	:	US
Telephone Number	:	718-395-0032
Fax Number	:

Provider Business Practice Location Address
First Line	:	3508 FILLMORE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4832
Country	:	US
Telephone Number	:	718-395-0032
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	YELENA MANITA
Credential	:	SLP(MS, CCC-SLP)
Telephone Number	:	718-395-0032

Provider Enumeration Date	:	01/22/2018
Last Update Date	:	01/22/2018

Similar Medicare Providers

1528446168 — DRUGLAND PHARMACY CORP.
Practice Location Address:

5806 FORT HAMILTON PKWY
BROOKLYN, NY
11219-4832

Practice Phone: 718-972-1056
Practice Fax: 718-972-1063

1982073151 — SABRINA D ZHANG PHARM D.
Practice Location Address:

5806 FORT HAMILTON PKWY
BROOKLYN, NY
11219-4832

Practice Phone: 917-667-0450
Practice Fax:

1366159840 — DRUGLAND DRUGS LLC
Practice Location Address:

5806 FORT HAMILTON PKWY
BROOKLYN, NY
11219-4832

Practice Phone: 718-972-1056
Practice Fax:

1568165215 — REGINA NG RDN, CDN, MS
Practice Location Address:

204 WAKEMAN PL
BROOKLYN, NY
11220-4832

Practice Phone: 718-312-2675
Practice Fax:

1053007880 — ISABELLA ROSATONE M.S
Practice Location Address:

223 13TH ST
BROOKLYN, NY
11215-4832

Practice Phone: 978-979-7753
Practice Fax:

1073746582 — MS. HELEN FRANCES ROTHWAX M.S., CCC-SLP
Practice Location Address:

180 LIVINGSTON ST , SUITE 306
BROOKLYN, NY
11201-5861

Practice Phone: 718-625-4055
Practice Fax: 718-228-7829

Directions to “MANITA SPEECH PATHOLOGY, P.C. ” 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 © 2007-2026 (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.