Organization Active NPI

Crystal Speech and Language Pathology PLLC

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1659637650
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
020327 Issued in NY
Legal business name
CRYSTAL SPEECH AND LANGUAGE PATHOLOGY PLLC
Practice address
2012 Jerome Ave Apt 4a
Brooklyn, NY 11235-3215
Phone
(917) 981-0034
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Svetlana Bratslavskaya, CCC SLPNPI 1023325990
Title
President
Phone
(917) 981-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 020327 NY Primary

Addresses

Primary practice location

2012 Jerome Ave Apt 4a
Brooklyn, NY 11235-3215

Mailing address

2012 Jerome Ave Apt 4a
Brooklyn, NY 11235-3215
Phone (917) 981-0034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1659637650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 JEROME AVE APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353215",
            "telephone_number": "917-981-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 JEROME AVE APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353215",
            "telephone_number": "917-981-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SPEECH AND LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "BRATSLAVSKAYA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-981-0034",
        "authorized_official_credential": "CCC SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "020327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.