Provider Demographics
NPI:1821227307
Name:GILYAYEVA, ZINAIDA (MA, SLP CCC)
Entity Type:Individual
Prefix:
First Name:ZINAIDA
Middle Name:
Last Name:GILYAYEVA
Suffix:
Gender:F
Credentials:MA, SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14225 PERSHING CRES APT 4K
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2034
Mailing Address - Country:US
Mailing Address - Phone:347-279-0463
Mailing Address - Fax:
Practice Address - Street 1:14225 PERSHING CRES APT 4K
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-2034
Practice Address - Country:US
Practice Address - Phone:347-279-0463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist