Provider Demographics
NPI:1801026562
Name:COMMUNICATION FOR LIFE,SLP PC
Entity Type:Organization
Organization Name:COMMUNICATION FOR LIFE,SLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUVSHTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:718-664-0324
Mailing Address - Street 1:18914 CROCHERON AVE
Mailing Address - Street 2:118
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2311
Mailing Address - Country:US
Mailing Address - Phone:718-664-0324
Mailing Address - Fax:718-359-2425
Practice Address - Street 1:18914 CROCHERON AVE
Practice Address - Street 2:118
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2311
Practice Address - Country:US
Practice Address - Phone:718-664-0324
Practice Address - Fax:718-359-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011268252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency