Bravo Speech Therapy Services P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRAVO SPEECH THERAPY SERVICES P.C.

Practice address

935 Newbridge Rd
North Bellmore, NY 11710-1620

Phone

(516) 303-4403

NPI assigned

Nov 29, 2020

Last updated

Nov 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonardo Pena Delgado, MS, CCC-SLPNPI 1174865463

Title

Director

Phone

(516) 303-4403

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonardo Pena Delgado

  • Speech-Language Pathologist
  • Hempstead, NY
  • NPI 1174865463
  NPD Authorized official

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606608000000",
    "number": "1376147439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 NEWBRIDGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101620",
            "telephone_number": "516-303-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NEWBRIDGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101620",
            "telephone_number": "516-303-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO SPEECH THERAPY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A",
        "authorized_official_last_name": "PENA DELGADO",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-303-4403",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry K Borger, DDS
• Elizabeth Bowen, CCC/SLP
• Gerald Joseph Bowen, LCSW
• Boycore Lab and Supplies Inc
• Irina Boytseva
• Russell Brenner, D.C.
• Nicholas G Brescia, R.PH.
• Margaret Alicia Briceland, MS
• Randi L Brill, LMSW
• Justine Marie Brown, LCAT ATR-BC CASAC2

• Early Intervention Provider Agency in North Bellmore, NY
• Providers in North Bellmore, 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 29, 2020; 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.