# ESSENTIAL OT, PT, SLP & PSYCHOLOGY SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093226805
- **Authorized official:** IDOMENEE MEDY (CLINICAL PROGRAMS DIRECTOR)
- **Authorized official phone:** (917) 499-8496

## Contact information

- **Practice address:** 2703 MILBURN AVE, BALDWIN, NY 11510-4115
- **Practice address phone:** (917) 499-8496
- **Practice address fax:** (804) 336-6220
- **Mailing address:** 2703 MILBURN AVE, BALDWIN, NY 11510-4115
- **Mailing address phone:** (917) 499-8496
- **Mailing address fax:** (804) 336-6220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | Yes |
| 171W00000X | Contractor | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2017
- **Last updated:** 12/15/2025