Provider Demographics
NPI:1831758317
Name:LET'S TALK SLP PC
Entity type:Organization
Organization Name:LET'S TALK SLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAZI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:917-742-4656
Mailing Address - Street 1:8567 87TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1304
Mailing Address - Country:US
Mailing Address - Phone:917-742-4656
Mailing Address - Fax:
Practice Address - Street 1:8567 87TH ST
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1304
Practice Address - Country:US
Practice Address - Phone:917-742-4656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1689989329Medicaid