Organization
BLOSSOM SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINAIDA NATANELOVA (SPEECH LANGUAGE PATHOLOGIST)
(646) 244-4865
Entity
Organization
Contact information
Practice address
14739 76TH AVE APT 2D, FLUSHING, NY 11367-3161
(646) 244-4865
Mailing address
14739 76TH AVE APT 2D, FLUSHING, NY 11367-3161
(646) 244-4865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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