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Organization

MY SPOT FOR KIDS SPEECH LANGUAGE PATHOLOGY PLLC

Active
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Organization

MY SPOT FOR KIDS SPEECH LANGUAGE PATHOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YELENA ZAVULUNOV M.S. CCC-SLP (CO-OWNER SPEECH LANGUAGE PATHOLOGIS)
(656) 756-4828
Entity
Organization

Contact information

Practice address
167 W 81ST ST LOWR LEVEL, NEW YORK, NY 10024-7221
(646) 756-4828
Mailing address
167 W 81ST ST LOWR LEVEL, NEW YORK, NY 10024-7221
(646) 756-4828

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0205841
NY
235Z00000X
Speech-Language Pathologist
Primary
020882
NY

Other

Enumeration date
10/21/2012
Last updated
10/21/2012
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