# TERRY TOTS NY INC

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

## Provider details

- **NPI number:** 1417658238
- **Authorized official:** RAICINE TERRY MS CCC SLP TSSLD (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (646) 338-2869

## Contact information

- **Practice address:** 11525 84TH AVE APT 4M, RICHMOND HILL, NY 11418-1413
- **Practice address phone:** (646) 338-2869
- **Mailing address:** 11525 84TH AVE APT 4M, RICHMOND HILL, NY 11418-1413
- **Mailing address phone:** (646) 338-2869

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 03/17/2023
