Provider Demographics
NPI:1780218263
Name:NYC SPEECH-LANGUAGE PATHOLOGSIT, P.C.
Entity Type:Organization
Organization Name:NYC SPEECH-LANGUAGE PATHOLOGSIT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGLAN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP/COM
Authorized Official - Phone:914-236-3365
Mailing Address - Street 1:475 WHITE PLAINS RD STE 21
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5537
Mailing Address - Country:US
Mailing Address - Phone:914-236-3365
Mailing Address - Fax:914-236-3364
Practice Address - Street 1:475 WHITE PLAINS RD STE 21
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5537
Practice Address - Country:US
Practice Address - Phone:914-236-3365
Practice Address - Fax:914-236-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center