# SPEECH LANGUAGE PATHOLOGIST BY OKSANA

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

## Provider details

- **NPI number:** 1164794152
- **Authorized official:** OKSANA PAVLYUK MS (CCC-SLP)
- **Authorized official phone:** (212) 767-9957

## Contact information

- **Practice address:** 1916 AVENUE K, 4C, BROOKLYN, NY 11230-4960
- **Practice address phone:** (212) 767-9957
- **Practice address fax:** (718) 377-1847
- **Mailing address:** 1916 AVENUE K, 4C, BROOKLYN, NY 11230-4960
- **Mailing address phone:** (212) 767-9957
- **Mailing address fax:** (718) 377-1847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019966 | NY | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012