Kelly Desfosse

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12144068 Issued in NY

Practice address

330 18TH St
Brooklyn, NY 11215-6111

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1972015071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 DARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESFOSSE",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12144068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Noel Deschaine, MS, CCC-SLP
• Andrew Edward Desear, LMSW
• Desena Physical Therapy PC
• Anthony Desena, PT
• Paul Damon Deserio, PHYSICAL THERAPIST
• Marie-Yves Nathalie Desgrottes
• Schiller Y. Desgrottes, MD
• Deshbangla Pharmacy Inc
• Amit Anil Deshmukh, B.S. PHARMACY
• Anita Anil Deshpande, PH.D.

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.