Provider Demographics
NPI:1295018323
Name:STOLOVITSKY COLB, MAGALI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MAGALI
Middle Name:
Last Name:STOLOVITSKY COLB
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 DAHILL RD
Mailing Address - Street 2:2 R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2205
Mailing Address - Country:US
Mailing Address - Phone:347-925-8295
Mailing Address - Fax:
Practice Address - Street 1:151 DAHILL ROAD
Practice Address - Street 2:2 R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218
Practice Address - Country:US
Practice Address - Phone:347-925-8295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020735-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist