Provider Demographics
NPI:1396363016
Name:NY SLP SERVICES PC
Entity Type:Organization
Organization Name:NY SLP SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:HELLEN
Authorized Official - Last Name:SHNAYDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:646-533-2099
Mailing Address - Street 1:425 NEPTUNE AVE APT 23B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4589
Mailing Address - Country:US
Mailing Address - Phone:646-533-2099
Mailing Address - Fax:
Practice Address - Street 1:6103 STRICKLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6408
Practice Address - Country:US
Practice Address - Phone:646-533-2099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech