Organization
AIM HIGH SPEECH THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA ZIRKIYEV MA CCC-SLP, TSLD (CEO)
(718) 263-3363
Entity
Organization
Contact information
Practice address
11215 72ND RD APT LL4, FOREST HILLS, NY 11375-4670
(718) 263-3363
Mailing address
11215 72ND RD APT LL4, FOREST HILLS, NY 11375-4670
(347) 558-6823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016525
NY
251C00000X
Developmentally Disabled Services Day Training Agency
016525
NY
251C00000X
Developmentally Disabled Services Day Training Agency
018761
NY
252Y00000X
Early Intervention Provider Agency
016525
NY
252Y00000X
Early Intervention Provider Agency
018761
NY
Other
Enumeration date
05/11/2010
Last updated
07/26/2019
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