Purple Table S.L.P., PLLC
Early Intervention Provider Agency in Glen Head, NY. Organization (NPI-2).
NPI number1003189986
StatusActive
Last updated in NPPESFeb 22, 2012
Details
- NPI
- 1003189986
- Entity type
- Organization (NPI-2)
- Legal business name
- Purple Table S.L.P., PLLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2012
- Last updated
- Feb 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 013002 | NY | Yes |
Practice location
16 Post StGlen Head, NY 11545-1809
Phone 347-539-6427
Mailing address
16 Post StreetGlen Head, NEW YORK 11545
United States Minor Outlying Islands
Phone 347-539-6427
Authorized official
Maryann Elizabeth Massari
Speech-Language Pathologist
3475396427
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