Provider Demographics
NPI:1063769230
Name:PINDRUS-BUYANOVA, INNA (SLP)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:PINDRUS-BUYANOVA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 E 9TH ST
Mailing Address - Street 2:APT 5A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:440 E 9TH ST
Practice Address - Street 2:APT 5A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5246
Practice Address - Country:US
Practice Address - Phone:718-462-2878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021171235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist