# CORNERSTONE SPEECH & LANGUAGE THERAPY, PC

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

## Provider details

- **NPI number:** 1366726481
- **Authorized official:** AMANDA MOHR MA CCC-SLP (SPEECH PATHOLOGIST)
- **Authorized official phone:** (646) 998-4798

## Contact information

- **Practice address:** 1324 LEXINGTON AVE, SUITE 316, NEW YORK, NY 10128-1145
- **Practice address phone:** (646) 998-4798
- **Mailing address:** 1324 LEXINGTON AVE, SUITE 316, NEW YORK, NY 10128-1145
- **Mailing address phone:** (646) 998-4798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019394 | NY | Yes |

## Other

- **Enumeration date:** 10/07/2011
- **Last updated:** 10/07/2011