Provider Demographics
NPI:1174812176
Name:PROGRESSIVE SPEECH AND LANGUAGE, P.C.
Entity type:Organization
Organization Name:PROGRESSIVE SPEECH AND LANGUAGE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARYL
Authorized Official - Middle Name:ALTERBAUM
Authorized Official - Last Name:BRIEF
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC SLP
Authorized Official - Phone:212-877-8774
Mailing Address - Street 1:205 WEST END AVENUE, SUITE 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-877-8774
Mailing Address - Fax:212-877-8775
Practice Address - Street 1:205 WEST END AVENUE
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-877-8774
Practice Address - Fax:212-877-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech