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Organization

CGB SPEECH-LANGUAGE PATHOLOGY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA G BRASLAU MA.,CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(212) 222-9520
Entity
Organization

Contact information

Practice address
50 W 96TH ST, SUITE 7D, NEW YORK, NY 10025-6526
(212) 222-9520
Mailing address
50 W 96TH ST, SUITE 7D, NEW YORK, NY 10025-6526
(212) 222-9520

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
6503
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00062851
ASHA-AMERICAN SPEECH-LANGUAGE ASSOCIATION: CERTIFIED MEMBER
NY
01
6503
REGISTRATION/CERTIFICATE
NY
Enumeration date
07/10/2010
Last updated
07/10/2010
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