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Organization
FIRST CHOICE PT SLP PSYCHOLOGY PLLC
Active
Organization
FIRST CHOICE PT SLP PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONID YAKUBOV OT (EXECUTIVE DIRECTOR)
(718) 213-3041
Entity
Organization
Contact information
Practice address
8415 BEVERLY RD, KEW GARDENS, NY 11415-2103
(718) 213-3041
Mailing address
8415 BEVERLY RD, KEW GARDENS, NY 11415-2103
(718) 213-3041
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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