Organization
IAK SPEECH THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENA AVRUTIN-KHOTYLEV MS,CCC-SLP (PRESIDENT)
(917) 541-0110
Entity
Organization
Contact information
Practice address
30 KANSAS PL, BROOKLYN, NY 11234-6909
(917) 541-0110
Mailing address
30 KANSAS PL, BROOKLYN, NY 11234-6909
(917) 541-0110
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
014692
NY
Other
Enumeration date
11/26/2011
Last updated
11/26/2011
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