# FIRST CHOICE PT SLP PSYCHOLOGY PLLC

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

## Provider details

- **NPI number:** 1245603026
- **Authorized official:** MR. LEONID YAKUBOV OT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (718) 213-3041

## Contact information

- **Practice address:** 8415 BEVERLY RD, KEW GARDENS, NY 11415-2103
- **Practice address phone:** (718) 213-3041
- **Mailing address:** 8415 BEVERLY RD, KEW GARDENS, NY 11415-2103
- **Mailing address phone:** (718) 213-3041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 11/03/2015