Kristin Bevilacqua, Ma, Ccc-Slp, Pllc

LBN: Kristin Bevilacqua, Ma, Ccc-Slp, Pllc
Kristin Bevilacqua, Ma, Ccc-Slp, Pllc is an health care organization with primary practice located at 551 Jefferson Blvd , Staten Island NY 10312-2225. The organization recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Hearing and Speech. Ambulatory Health Care Facilities / Hearing and Speech is the primary health care specialty. Kristin Bevilacqua, Ma, Ccc-Slp, Pllc can be contacted via phone (718) 208-9444, or through Bevilacqua, Kristin via phone (718) 208-9444.

Contact Information

Primary practice address
551 Jefferson Blvd Staten Island NY 10312-2225
Phone: (718) 208-9444
Fax: (718) 967-9513
Website:
Map and Directions
Authorized official contact:
Name: Bevilacqua, Kristin MA, CCC-SLP
Phone: (718) 208-9444

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 0164531 New York
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X 0164531 New York

Profile Details

NPI number 1568602563
LBN Legal business name Kristin Bevilacqua, Ma, Ccc-Slp, Pllc
DBA Doing business as
Authorized official Bevilacqua, Kristin MA, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2009
Last updated Mar 3rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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