Active NPI
Leslie Alicia Patrick, MA, SLP/TSSLD
- Speech-Language Pathologist
- Greenlawn, NY
National Provider Identifier
1407085822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019173-1
- Practice address
- 467 Pulaski Rd
Greenlawn, NY 11740-2123 - Phone
- (646) 505-9573
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019173-1 | NY | Primary |
Addresses
Primary practice location
467 Pulaski Rd
Greenlawn, NY 11740-2123
Mailing address
467 Pulaski Rd
Greenlawn, NY 11740-2123
Phone (646) 505-9573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019173-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1407085822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 PULASKI RD",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117402123",
"telephone_number": "646-505-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 PULASKI RD",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117402123",
"telephone_number": "646-505-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "LESLIE",
"middle_name": "ALICIA",
"name_prefix": "Ms.",
"credential": "MA, SLP/TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019173-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenlawn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.