# ALI SLP PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1588800114
- **Authorized official:** KHALILA ALI MS, CCC-SLP (PRESIDENT)
- **Authorized official phone:** (347) 522-0989

## Contact information

- **Practice address:** 759 E 39TH ST, BROOKLYN, NY 11210-2001
- **Practice address phone:** (347) 522-0989
- **Mailing address:** 759 E 39TH ST, BROOKLYN, NY 11210-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 017460-1 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 017460-1 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2009
- **Last updated:** 01/03/2009