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

Niyi Bazan, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760764799

Niyi Bazan, MACCC-SLP is a Speech-Language Pathologist in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

240 E 109th St
New York, NY 10029-3703
Phone: (212) 722-6507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021096-1 (NY)

Record details

NPI number1760764799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESJune 11, 2015

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