Provider Demographics
NPI:1558503151
Name:PAPUSHINA, LYUDMILA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:LYUDMILA
Middle Name:
Last Name:PAPUSHINA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 OCEAN PKWY
Mailing Address - Street 2:APT 1S
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5861
Mailing Address - Country:US
Mailing Address - Phone:718-686-7026
Mailing Address - Fax:718-686-7026
Practice Address - Street 1:540 OCEAN PKWY
Practice Address - Street 2:APT 1S
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5861
Practice Address - Country:US
Practice Address - Phone:718-686-7026
Practice Address - Fax:718-686-7026
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist