Provider Demographics
NPI:1376627380
Name:EPSTEIN, BAILA (PHD, CCC-SLP, TSHH)
Entity Type:Individual
Prefix:DR
First Name:BAILA
Middle Name:
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:PHD, CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 72ND ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9602
Mailing Address - Country:US
Mailing Address - Phone:646-696-1756
Mailing Address - Fax:
Practice Address - Street 1:525 E 72ND ST APT 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9602
Practice Address - Country:US
Practice Address - Phone:646-696-1756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015923-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist