Provider Demographics
NPI:1497066088
Name:LAMBA, TANYA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:
Last Name:LAMBA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:TANYA
Other - Middle Name:LAMBA
Other - Last Name:ADYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:110 HORATIO ST APT 805
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-1571
Mailing Address - Country:US
Mailing Address - Phone:646-552-9133
Mailing Address - Fax:
Practice Address - Street 1:4951 CHAMBERS STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1209
Practice Address - Country:US
Practice Address - Phone:646-552-9133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist