Provider Demographics
NPI:1427948132
Name:MELADEL BUSANTE THE SLP, PLLC
Entity type:Organization
Organization Name:MELADEL BUSANTE THE SLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-513-8875
Mailing Address - Street 1:4015 195TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4015 195TH ST FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3023
Practice Address - Country:US
Practice Address - Phone:914-513-8875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty