Provider Demographics
NPI:1346388170
Name:NPS SPEECH SERVICES, SLP, PC
Entity Type:Organization
Organization Name:NPS SPEECH SERVICES, SLP, PC
Other - Org Name:DSS SPEECH & LANGUAGE REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARANGELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:917-748-1476
Mailing Address - Street 1:PO BOX 20685
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11002-0685
Mailing Address - Country:US
Mailing Address - Phone:917-748-1476
Mailing Address - Fax:718-236-1803
Practice Address - Street 1:1612 83RD STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:917-748-1476
Practice Address - Fax:718-236-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011900-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty