Yoel, Selene

Yoel, Selene is an individual health care provider with primary practice located at 46 Syracuse Ave , Medford NY 11763-3621. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Yoel, Selene can be contacted via phone (917) 826-9007.

Contact Information

Primary practice address
46 Syracuse Ave Medford NY 11763-3621
Phone: (917) 826-9007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0249981 New York

Profile Details

NPI number 1750781662
LBN Legal business name Yoel, Selene
Credentials M.S. CCC-SLP;BE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2014
Last updated Dec 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750781662 NPPES
New York Other 58-024998 LICENSE NUMBER
New York MEDICAID 04409216 LICENSE NUMBER

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