Provider Demographics
NPI:1811323744
Name:GORVITS, VLADIMIR (MS)
Entity type:Individual
Prefix:MR
First Name:VLADIMIR
Middle Name:
Last Name:GORVITS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8320 BAY PKWY
Mailing Address - Street 2:APT. C44
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2668
Mailing Address - Country:US
Mailing Address - Phone:917-319-9782
Mailing Address - Fax:
Practice Address - Street 1:8320 BAY PARKWAY APT. C44
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:917-319-9782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist