# SPEECH LANGUAGE THERAPEUTIC SERVICES PC

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

## Provider details

- **NPI number:** 1972736452
- **Authorized official:** ROZALIYA YARUSSKAYA MS, CCC-SLP (PRESIDENT)
- **Authorized official phone:** (718) 427-1724

## Contact information

- **Practice address:** 223 PICCADILLY DOWNS, LYNBROOK, NY 11563
- **Practice address phone:** (718) 427-1724
- **Mailing address:** 223 PICCADILLY DOWNS, LYNBROOK, NY 11563
- **Mailing address phone:** (718) 427-1724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | 018143 | NY | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009