Organization
ELAINA KABZAN CCC SLP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINA KABZAN-VAYNMAN M.S., CCC/SLP (PRESIDENT)
(917) 428-6059
Entity
Organization
Contact information
Practice address
2760 WHITMAN DR, BROOKLYN, NY 11234-6809
(917) 428-6059
Mailing address
2760 WHITMAN DR, BROOKLYN, NY 11234-6809
(917) 428-6059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
009090
NY
252Y00000X
Early Intervention Provider Agency
Primary
009090
NY
Other
Enumeration date
03/26/2009
Last updated
04/09/2014
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