Provider Demographics
NPI:1366303083
Name:ISHUA PINKHASOV SLP PC
Entity type:Organization
Organization Name:ISHUA PINKHASOV SLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ISHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHASOV
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:917-287-5285
Mailing Address - Street 1:15060 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3437
Mailing Address - Country:US
Mailing Address - Phone:917-287-5285
Mailing Address - Fax:
Practice Address - Street 1:15060 78TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3437
Practice Address - Country:US
Practice Address - Phone:917-287-5285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty