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

Igor Ivankov

Individual provider Speech-Language Pathologist · NPI 1043069743

Igor Ivankov is a Qualified Speech Language Pathologist in Brooklyn, New York. Qualified in 2018, 8 years ago. Practices with Block Institute, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

2214 Stillwell Ave
Brooklyn, NY 11223-4250
Phone: (718) 772-5202
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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 030554 (NY)

Record details

NPI number1043069743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Block Institute, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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