Provider Demographics
NPI:1558507954
Name:SIM BILINGUAL CONSULTING INC
Entity Type:Organization
Organization Name:SIM BILINGUAL CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL SPEECH LANGUAGE PATHOLOGI
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:MOSQUERA-VALERIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC BSLP
Authorized Official - Phone:516-668-9092
Mailing Address - Street 1:60 DUNNE PL
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-4238
Mailing Address - Country:US
Mailing Address - Phone:516-668-9092
Mailing Address - Fax:516-593-3283
Practice Address - Street 1:350 E 146TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5702
Practice Address - Country:US
Practice Address - Phone:516-668-9092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011241-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency