Provider profile · NPI 1063858991

214-18 Hillside Ave

Speech-Language Pathologist, · Queens Village, NY · NPI 1063858991 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Speech-Language Pathologist,

Enumerated

May 19, 2013

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING21418 HILLSIDE AVE Queens Village, NY 11427-1808646-331-7345
LOCATION21418 HILLSIDE AVE Queens Village, NY 11427-1808646-331-7345

View on NPPES registry ↗

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