Most Relevant Information
Provider Data
| NPI Number: | 1003290800 |
| Provider Name: | BERTA BALKHIYEVA SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2015 |
| Last Updated: | 07/13/2015 |
Provider Practice Location
11515 101ST AVE
SOUTH RICHMOND HILL
NY
114191247
Practice Location Phone/Fax
| Phone: | 7184415333 |
| Fax: |
Provider Mailing Location
6360 102ND ST APT B18
REGO PARK
NY
113742435
Provider Mailing Phone/Fax
| Phone: | 9173251039 |
| Fax: |