Provider Demographics
NPI:1235410127
Name:KUZMIN, MARGARYTA
Entity Type:Individual
Prefix:MRS
First Name:MARGARYTA
Middle Name:
Last Name:KUZMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARYTA
Other - Middle Name:
Other - Last Name:KYEPTSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:7616 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2412
Mailing Address - Country:US
Mailing Address - Phone:718-630-5100
Mailing Address - Fax:
Practice Address - Street 1:7616 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2412
Practice Address - Country:US
Practice Address - Phone:718-630-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021343-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist