Shivbaran, Melina

Shivbaran, Melina is an sole proprietor health care provider with primary practice located at 1407 30Th Rd , Astoria NY 11102-3639. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Shivbaran, Melina can be contacted via phone (646) 644-0349.

Contact Information

Primary practice address
1407 30Th Rd Astoria NY 11102-3639
Phone: (646) 644-0349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 1230032181 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 029417 New York

Profile Details

NPI number 1710470018
LBN Legal business name Shivbaran, Melina
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2018
Last updated Dec 10th, 2019 - 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 1710470018 NPPES
New York Other 029417 NYS LICENSE

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