Provider Demographics
NPI:1770899064
Name:LAIOS, ELENA (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:
Last Name:LAIOS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 87TH ST
Mailing Address - Street 2:APT 11D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3112
Mailing Address - Country:US
Mailing Address - Phone:201-218-0587
Mailing Address - Fax:
Practice Address - Street 1:200 E 87TH ST
Practice Address - Street 2:APT 11D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3112
Practice Address - Country:US
Practice Address - Phone:201-218-0587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58018911235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist