CGB Speech-Language Pathology Services

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

6503 Issued in NY

Legal business name

CGB SPEECH-LANGUAGE PATHOLOGY SERVICES

Practice address

50 W 96TH St
Suite 7D
New York, NY 10025-6526

Phone

(212) 222-9520

NPI assigned

Jul 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cynthia G Braslau, MA.,CCC-SLPNPI 1124691753

Title

Speech-Language Pathologist

Phone

(212) 222-9520

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Braslau, M.A., CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1124691753
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1083926786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 96TH ST",
            "address_2": "SUITE 7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256526",
            "telephone_number": "212-222-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 96TH ST",
            "address_2": "SUITE 7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256526",
            "telephone_number": "212-222-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGB SPEECH-LANGUAGE PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "BRASLAU",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "212-222-9520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NY",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA-AMERICAN SPEECH-LANGUAGE ASSOCIATION: CERTIFIED MEMBER",
            "identifier": "00062851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION/CERTIFICATE",
            "identifier": "6503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.