Provider Demographics
NPI:1306066394
Name:HARPER, BRUKTI (MA CCC SLP)
Entity type:Individual
Prefix:MS
First Name:BRUKTI
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:PAULETTE
Other - Middle Name:ARGARITA
Other - Last Name:ELLIS GEBREHIWOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:304 W 117TH STREET
Mailing Address - Street 2:#5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:212-865-2680
Mailing Address - Fax:
Practice Address - Street 1:1979 MARCUS AVENUE
Practice Address - Street 2:STE 204 GLOBAL COMMUNICATIONS SERVICES INC
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-327-4682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013724235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist