Provider Demographics
NPI:1639722986
Name:SALGANIK, VICTORIA
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:SALGANIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICTORIYA
Other - Middle Name:
Other - Last Name:DUBAVTSOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 ATLANTIC AVE APT 86
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3458
Mailing Address - Country:US
Mailing Address - Phone:347-459-5747
Mailing Address - Fax:
Practice Address - Street 1:150-50 14TH ROAD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-767-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist