Provider Demographics
NPI:1285324970
Name:SPEECH THERAPY SERVICES PC
Entity type:Organization
Organization Name:SPEECH THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIKS
Authorized Official - Middle Name:
Authorized Official - Last Name:TABENSHLAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-934-6714
Mailing Address - Street 1:301 E 79TH ST APT 22N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0943
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3364 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4004
Practice Address - Country:US
Practice Address - Phone:347-570-5348
Practice Address - Fax:347-305-9539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty