Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Bevilacqua, MA, Ccc-Slp, PLLC

Organization Early Intervention Provider Agency · NPI 1568602563

Kristin Bevilacqua, MA, Ccc-Slp, PLLC is an Early Intervention Provider Agency in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

551 Jefferson Blvd
Staten Island, NY 10312-2225
Phone: (718) 208-9444
Fax: (718) 967-9513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing and Speech Clinic/Center (primary) Taxonomy 261QH0700X · Licence 0164531 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 0164531 (NY)

Record details

NPI number1568602563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Bevilacqua — Speech-Language Pathologist · (718) 208-9444
NPI enumeratedMarch 3, 2009
Last updated in NPPESMarch 3, 2009
Mailing address551 Jefferson Blvd, Staten Island, NY 10312-2225

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