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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