Provider Demographics
NPI:1407611106
Name:ABBI, TANVI (MS CCC-SLP TSSLD)
Entity Type:Individual
Prefix:
First Name:TANVI
Middle Name:
Last Name:ABBI
Suffix:
Gender:F
Credentials:MS CCC-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SUNSET RD W
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1133
Mailing Address - Country:US
Mailing Address - Phone:516-581-3002
Mailing Address - Fax:
Practice Address - Street 1:23 SUNSET RD W
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1133
Practice Address - Country:US
Practice Address - Phone:516-581-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033687-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty