# ELAINA KABZAN CCC SLP PC

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

## Provider details

- **NPI number:** 1780826420
- **Authorized official:** MS. ELAINA KABZAN-VAYNMAN M.S., CCC/SLP (PRESIDENT)
- **Authorized official phone:** (917) 428-6059

## Contact information

- **Practice address:** 2760 WHITMAN DR, BROOKLYN, NY 11234-6809
- **Practice address phone:** (917) 428-6059
- **Mailing address:** 2760 WHITMAN DR, BROOKLYN, NY 11234-6809
- **Mailing address phone:** (917) 428-6059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 009090 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 009090 | NY | Yes |

## Other

- **Enumeration date:** 03/26/2009
- **Last updated:** 04/09/2014