Provider Demographics
NPI:1245782655
Name:CLARITY SPEECH
Entity type:Organization
Organization Name:CLARITY SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HRYBAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-932-1500
Mailing Address - Street 1:2805 OCEAN PKWY
Mailing Address - Street 2:3C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7874
Mailing Address - Country:US
Mailing Address - Phone:646-932-1500
Mailing Address - Fax:
Practice Address - Street 1:2805 OCEAN PKWY
Practice Address - Street 2:3C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7874
Practice Address - Country:US
Practice Address - Phone:646-932-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025252252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04343702Medicaid