Active NPIIndividual provider

Nicole A Mazzuki, CCC-SLP

Speech-Language Pathologist, in Brooklyn, New York

NPI Number1578338851
Practice location
65 Court St, Brooklyn, NY 11201-4916
Fax
—
Last updated
September 14, 2024

Nicole Alexandra Mazzuki is a Speech-Language Pathologist, based in Brooklyn, NY. Nicole Alexandra Mazzuki practices in Brooklyn, NY and has the professional credentials of CCC-SLP. The NPI Number for Nicole Alexandra Mazzuki is 1578338851 and holds a License No. TL-4309 (NJ). The current practice location address for Nicole Alexandra Mazzuki is 65 Court St, Brooklyn, NY 11201-4916 and can be reached out via phone at 718-935-4000.

Provider Profile Details

NPI Number
1578338851
Provider Name
Nicole Alexandra Mazzuki
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
65 Court St, Brooklyn, NY 11201-4916
Phone Number
718-935-4000
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Nicole Alexandra Fahim, CCC-SLP (Other Name)
Provider Enumeration Date
November 16, 2023
Last Update Date
September 14, 2024
Certification Date
September 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Court St
Brooklyn, NY 11201-4916
Zip
11201-4916
Phone Number
718-935-4000
Brooklyn, NY 11201Get directions →

Provider Business Mailing Address Details

Address
40 Washington Ave
Milltown, NJ 08850-1241
City
Milltown
State
NJ
Zip
08850-1241
Phone Number
347-244-3882

License Information

License Number (1)
TL-4309
License State (1)
NJ
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
034776
License State (2)
NY
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole A Mazzuki, CCC-SLP?

The NPI number of Nicole A Mazzuki, CCC-SLP is 1578338851. It was assigned on November 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Nicole A Mazzuki, CCC-SLP?

Nicole A Mazzuki, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number TL-4309.

Where does Nicole A Mazzuki, CCC-SLP practice?

The practice location is 65 Court St, Brooklyn, NY 11201-4916. The office can be reached at 718-935-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578338851 directly on the NPPES registry website.

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