MARY ALEXANDRA ILYASOVA
NPI 1457105140
Speech-Language Pathologist in Flushing, NY

Active since April 17, 2024
7925 150TH ST APT C22, FLUSHING, NY 11367(646) 620-7732 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About MARY ILYASOVA

This page provides the complete NPI Profile along with additional information for Mary Ilyasova, a provider established in Flushing, New York with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1457105140 assigned on April 2024. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1457105140 Verify this NPI
Provider Name
MARY ALEXANDRA ILYASOVA
Gender
Female
Entity Type
Individual
Location Address
7925 150TH ST APT C22 FLUSHING, NY 11367
Location Phone
(646) 620-7732
Mailing Address
7925 150TH ST APT C22 FLUSHING, NY 11367
Mailing Phone
(646) 620-7732
Is Sole Proprietor?
No
Enumeration Date
04-17-2024
Last Update Date
04-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457105140, enumerated as an "individual" on April 17, 2024.

The provider is located at 7925 150TH ST APT C22 FLUSHING, NY 11367 and the phone number is (646) 620-7732.

Speech-Language Pathologist with taxonomy code 235Z00000X.