Organization
FUNCTIONAL COMMUNICATION THERAPY SLP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANCY KABASZINSKA (SPEECH LANGUAGE PATHOLOGIST)
(917) 509-4305
Entity
Organization
Contact information
Practice address
47 FAIRWAY DR, MANHASSET, NY 11030-3906
(917) 509-4305
Mailing address
47 FAIRWAY DR, MANHASSET, NY 11030-3906
(917) 509-4305
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03658968
—
NY
Enumeration date
03/24/2021
Last updated
04/05/2021
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