Organization
CRYSTAL SPEECH AND LANGUAGE PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA BRATSLAVSKAYA CCC SLP (PRESIDENT)
(917) 981-0034
Entity
Organization
Contact information
Practice address
2012 JEROME AVE APT 4A, BROOKLYN, NY 11235-3215
(917) 981-0034
Mailing address
2012 JEROME AVE APT 4A, BROOKLYN, NY 11235-3215
(917) 981-0034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
020327
NY
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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