# YP SPEECH SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003168212
- **Authorized official:** YELENA PEREVOZKINA M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (718) 300-8357

## Contact information

- **Practice address:** 2830 OCEAN PKWY, SUITE 12B, BROOKLYN, NY 11235-7959
- **Practice address phone:** (718) 300-8357
- **Mailing address:** 2830 OCEAN PKWY, SUITE 12B, BROOKLYN, NY 11235-7959
- **Mailing address phone:** (718) 300-8357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 021229 | NY | Yes |

## Other

- **Enumeration date:** 10/11/2012
- **Last updated:** 10/11/2012