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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

NICOLETTE GAVRILOV
NPI 1639090905
Speech-Language Pathologist in Staten Island, NY

Active since July 23, 2026
3391 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 608-9170 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicolette Gavrilov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLETTE GAVRILOV (NPI 1639090905) is an individual speech-language pathologist provider in Staten Island, New York and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1639090905
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLETTE GAVRILOV
Location Address3391 RICHMOND AVEStaten Island, NY 10312-2025
Mailing Address61 Bogert AveStaten Island, NY 10314 · (646) 465-4685
Phone(718) 608-9170
Sole ProprietorNo
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1639090905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

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.

3391 RICHMOND AVE, Staten Island, NY 10312
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CAMILLE JOSEPHINE REDDEN MACCC
Speech-Language Pathologist
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170
MRS. BROOKE MIANO OTR/L
Occupational Therapist (Pediatrics)
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170
MARY ANN MURRAY PT
Physical Therapist
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170
TEJWATIE SOHAN M.A., CCC-SLP
Speech-Language Pathologist
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170
MRS. KIMBERLY DANSKY P.T.
Physical Therapist
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170
MRS. KELLY ANN MCMILLEN M.A.CCC SLP
Speech-Language Pathologist
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9130
MRS. DENISE D'AGNESE-STASSI OTR/L
Occupational Therapist (Pediatrics)
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170
MRS. MICHELLE MARIE REILLY OTR/L
Occupational Therapist (Pediatrics)
3391 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 608-9170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolette Gavrilov's NPI number?

The NPI number for Nicolette Gavrilov is 1639090905. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Nicolette Gavrilov located?

Nicolette Gavrilov practices at 3391 Richmond Ave, Staten Island, NY 10312. The listed phone number is (718) 608-9170.

What is Nicolette Gavrilov's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Nicolette Gavrilov was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.