Basic Information
| Provider Information | |||||||||
| NPI: | 1336456276 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DEVORAH POSY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 337 WALSH CT | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112302112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188514272 | ||||||||
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| Practice Location | |||||||||
| Address1: | 337 WALSH CT | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112302112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188514272 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2010 | ||||||||
| LastUpdateDate: | 09/13/2010 | ||||||||
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| AuthorizedOfficialLastName: | POSY | ||||||||
| AuthorizedOfficialFirstName: | DEVORAH | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTER | ||||||||
| AuthorizedOfficialTelephone: | 7188514272 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | MA CCC-SLP | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 014899-1 | NY | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 3715094253 | 01 | NY | SPEECH PATHOLOGY | OTHER |