Provider Demographics
NPI:1093084428
Name:FALEVICH, NATALIYA (MS)
Entity Type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:FALEVICH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2166 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6324
Mailing Address - Country:US
Mailing Address - Phone:646-269-3882
Mailing Address - Fax:
Practice Address - Street 1:2166 E 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6324
Practice Address - Country:US
Practice Address - Phone:646-269-3882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist