# NY THERAPEUTIC SPECIALISTS, INC

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

## Provider details

- **NPI number:** 1255579314
- **Authorized official:** LISA SLADE LCSW (PRESIDENT)
- **Authorized official phone:** (516) 741-2840

## Contact information

- **Practice address:** 72 BRUNSWICK AVE, WILLISTON PARK, NY 11596-1504
- **Practice address phone:** (516) 741-2840
- **Mailing address:** 72 BRUNSWICK AVE, WILLISTON PARK, NY 11596-1504
- **Mailing address phone:** (516) 741-2840

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2009
- **Last updated:** 01/28/2009