Provider Demographics
NPI:1548426406
Name:LEYKO, VERA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VERA
Middle Name:
Last Name:LEYKO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:BAYKOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:380 2ND AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5645
Mailing Address - Country:US
Mailing Address - Phone:646-438-7890
Mailing Address - Fax:646-438-7809
Practice Address - Street 1:380 2ND AVE FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5645
Practice Address - Country:US
Practice Address - Phone:646-438-7890
Practice Address - Fax:646-438-7809
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015407235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist