Provider Demographics
NPI:1124799846
Name:ESULIN, SKYE MALKA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:SKYE
Middle Name:MALKA
Last Name:ESULIN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 97TH ST APT 6E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-9223
Mailing Address - Country:US
Mailing Address - Phone:818-923-0101
Mailing Address - Fax:
Practice Address - Street 1:586 W 177TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-7214
Practice Address - Country:US
Practice Address - Phone:212-991-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist