Provider Demographics
NPI:1366695827
Name:KABASZINSKA, YANCY (MA, CC-SLP:TSHH:BE)
Entity type:Individual
Prefix:
First Name:YANCY
Middle Name:
Last Name:KABASZINSKA
Suffix:
Gender:F
Credentials:MA, CC-SLP:TSHH:BE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3906
Mailing Address - Country:US
Mailing Address - Phone:917-509-4305
Mailing Address - Fax:
Practice Address - Street 1:47 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:917-509-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014456-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist