Provider Demographics
NPI:1457476343
Name:MINDI BROWN SLP PC
Entity Type:Organization
Organization Name:MINDI BROWN SLP PC
Other - Org Name:WEST HEMPSTEAD SPEECH & HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH PATHOLOGIST DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINSTEIN BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:516-505-2200
Mailing Address - Street 1:300 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1450
Mailing Address - Country:US
Mailing Address - Phone:515-505-2200
Mailing Address - Fax:516-505-5416
Practice Address - Street 1:300 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1450
Practice Address - Country:US
Practice Address - Phone:515-505-2200
Practice Address - Fax:516-505-5416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007681235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01981108Medicaid