| Organization Name: | BAYSIDE SPEECH & LANGUAGE PALS, PLLC |
| NPI Number: | 1881098879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDSEY PERAL (SPEECH-LANGUAGE PATHOLOGIST) |
| Mailing Address: | 5847 Francis Lewis Blvd Suite 15 Bayside |
| State: | NY US |
| Postal Code: | 113641698 |
| Phone Number: | 3474084247 |
| Fax Number: | 3474084398 |
| NPI Enumeration Date: | 10/20/2014 |
| NPI Last Update Date: | 10/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 020714 |
| 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 |