Provider Demographics
NPI:1982081881
Name:CORREDOR CORREDOR, NAYDU ALEXANDRA (MS SLP)
Entity type:Individual
Prefix:
First Name:NAYDU
Middle Name:ALEXANDRA
Last Name:CORREDOR CORREDOR
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:NAYDU
Other - Middle Name:ALEXANDRA
Other - Last Name:CORREDOR CORREDOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH LANGUAGE PATH
Mailing Address - Street 1:7000 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24 W 9TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1609
Practice Address - Country:US
Practice Address - Phone:718-762-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026185-01235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist