Doctor Name: | POLINA ABAYEVA |
NPI Number: | 1023342037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 019520 |
Business Practice Address: | 1024 49th Ave Long Island City Long Island City, NY - 111015613 |
Business Phone Number: | 7184721695 |
Business Fax Number: | |
Mailing Address: | 7529 177th St, Fresh Meadows FRESH MEADOWS |
State: | NY |
Postal Code: | 113661522 |
Phone Number: | 7188493524 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |