Provider Demographics
NPI:1285970061
Name:KASHTELYAN, ELENA (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:
Last Name:KASHTELYAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-6110
Mailing Address - Country:US
Mailing Address - Phone:718-696-3700
Mailing Address - Fax:
Practice Address - Street 1:800 E GUN HILL RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6110
Practice Address - Country:US
Practice Address - Phone:718-696-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-22
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist