Provider Demographics
NPI:1871118521
Name:YOUNIQUE LLC
Entity type:Organization
Organization Name:YOUNIQUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CRISTA
Authorized Official - Middle Name:B
Authorized Official - Last Name:CONTO
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP,TSSLD
Authorized Official - Phone:347-592-7430
Mailing Address - Street 1:300 BAY 19TH ST # 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6004
Mailing Address - Country:US
Mailing Address - Phone:347-592-7430
Mailing Address - Fax:
Practice Address - Street 1:300 BAY 19TH ST # 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6004
Practice Address - Country:US
Practice Address - Phone:347-592-7430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech