First Choice PT SLP Psychology PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

FIRST CHOICE PT SLP PSYCHOLOGY PLLC

Practice address

8415 Beverly Rd
Kew Gardens, NY 11415-2103

Phone

(718) 213-3041

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Leonid Yakubov, OT

Title

Executive Director

Phone

(718) 213-3041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1245603026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BEVERLY RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152103",
            "telephone_number": "718-213-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BEVERLY RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152103",
            "telephone_number": "718-213-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PT SLP PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-213-3041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Filimon
• Fine & Goodman DDS
• Mark P Finger, MD
• Rifki Fireworker, MA
• First Choice Diagnostics Radiology PC
• Aviva Fischer
• Billa Miriam Fisher Rados, MD
• Beverly Flemer
• Tacha Fletcher, LCSW
• Flyjet911

• Early Intervention Provider Agency in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.