Organization · NPI-2
27 East Speech-Language Therapy, PLLC
Clinic/Center, Hearing and Speech · Speonk, NY
NPI number1306616909
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1306616909
- Entity type
- Organization (NPI-2)
- Legal business name
- 27 East Speech-Language Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2024
- Certification date
- Jan 2, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | Yes |
Practice location
29 Hickory BendSpeonk, NY 11972
Phone 631-201-8870
Mailing address
Po Box 207Speonk, NY 11972-0207
Phone 631-201-8870
Authorized official
Kristina M Potter
Owner
6312018870
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.