Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premium Therapy Speech Services PC

Organization Speech-Language Pathologist · NPI 1710231881

Premium Therapy Speech Services PC provides Speech-Language Pathologist services in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5030 Broadway Ste 809
New York, NY 10034-1666 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 304-0400
Fax: (212) 304-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 010394 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 021088 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 021674 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 024761 (NY)

Record details

NPI number1710231881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ekaterini Melitsopoulou — Speech-Language Pathologist/Directo · (212) 304-0400
NPI enumeratedOctober 29, 2012
Last updated in NPPESOctober 29, 2012
Mailing address5030 Broadway, Suite 809, New York, NY 10034-1666

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