Provider Demographics
NPI:1073384905
Name:NY SPEECH LANGUAGE AND LEARNING PLLC
Entity Type:Organization
Organization Name:NY SPEECH LANGUAGE AND LEARNING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:KANTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:516-662-3713
Mailing Address - Street 1:765 WESTMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2401
Mailing Address - Country:US
Mailing Address - Phone:516-662-3713
Mailing Address - Fax:
Practice Address - Street 1:765 WESTMINSTER RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2401
Practice Address - Country:US
Practice Address - Phone:516-662-3713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty