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Garden City Speech Language Pathology PC

Early Intervention Provider Agency in Garden City, NY. Organization (NPI-2).

NPI number1124605779
StatusActive
Last updated in NPPESMar 28, 2021

Details

NPI
1124605779
Entity type
Organization (NPI-2)
Legal business name
Garden City Speech Language Pathology PC
Organization subpart
No
Enumeration date
Mar 28, 2021
Certification date
Mar 28, 2021
Last updated
Mar 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency––Yes

Practice location

7 1st Pl
Garden City, NY 11530-6101

Phone 516-236-3319

Mailing address

7 1st Pl
Garden City, NY 11530-6101

Phone 516-236-3319

Authorized official

James Michael Burns
Director
5162363319

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