Provider Demographics
NPI:1669745329
Name:IRINA BELAU, SLP PC
Entity type:Organization
Organization Name:IRINA BELAU, SLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH- THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELAU
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC , SLP
Authorized Official - Phone:347-768-0220
Mailing Address - Street 1:1875 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1875 W 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2639
Practice Address - Country:US
Practice Address - Phone:347-768-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011267235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty