# SMOOTH SPEECH LANGUAGE PATHOLOGY PC

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

## Provider details

- **NPI number:** 1619743390
- **Authorized official:** MS. VICTORIA BAGIROVA MS, SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (917) 601-1690

## Contact information

- **Practice address:** 1555 DAHILL RD FL 3, BROOKLYN, NY 11204-3581
- **Practice address phone:** (917) 601-1690
- **Mailing address:** 8635 21ST AVE APT 2A, BROOKLYN, NY 11214-4033
- **Mailing address phone:** (917) 601-1690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 12/04/2023