Organization
ALI SLP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALILA ALI MS, CCC-SLP (PRESIDENT)
(347) 522-0989
Entity
Organization
Contact information
Practice address
759 E 39TH ST, BROOKLYN, NY 11210-2001
(347) 522-0989
Mailing address
759 E 39TH ST, BROOKLYN, NY 11210-2001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
017460-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
017460-1
NY
Other
Enumeration date
01/03/2009
Last updated
01/03/2009
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