Organization
BOURNE INTELLIGENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAILAH FEMI BOURNE CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(917) 932-3463
Entity
Organization
Contact information
Practice address
125 BEVERLY AVE STE 2, STATEN ISLAND, NY 10301-3603
(833) 326-8763
Mailing address
125 BEVERLY AVE STE 2, STATEN ISLAND, NY 10301-3603
(833) 326-8763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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