IndividualActive
Larisa Gavrielova
NPI 1376854331 · Speech-Language Pathologist · Kew Gardens, NY
Provider details
- NPI number
- 1376854331
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 016324 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8315 Lefferts Blvd Apt 4n
Kew Gardens, NY 11415-2541
Phone: (718) 441-1651
Street-level locationGet directions
Mailing address
8315 Lefferts Blvd Apt 4n
Kew Gardens, NY 11415-2541
Registry dates
- Enumerated
- 2010-06-24
- Last updated
- 2010-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.