Organization
INTELLECTUAL GIFT SLP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA BEREZENKO (PRESIDENT)
(917) 553-0424
Entity
Organization
Contact information
Practice address
49 CRANFORD CT, STATEN ISLAND, NY 10306-2083
(917) 553-0424
Mailing address
49 CRANFORD CT, STATEN ISLAND, NY 10306-2083
(917) 553-0424
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
017071
NY
Other
Enumeration date
12/25/2012
Last updated
12/25/2012
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