Provider Demographics
NPI:1114321726
Name:OB SPEECH PATHOLOGY
Entity Type:Organization
Organization Name:OB SPEECH PATHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ORIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSHTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:732-322-4506
Mailing Address - Street 1:700 1ST ST APT 8T
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-8814
Mailing Address - Country:US
Mailing Address - Phone:732-322-4506
Mailing Address - Fax:
Practice Address - Street 1:700 1ST ST APT 8T
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-8814
Practice Address - Country:US
Practice Address - Phone:732-322-4506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023062252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency