# NORTH SHORE CENTER FOR SPEECH, LANGUAGE & SWALLOWING DISORDERS LLP

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

## Provider details

- **NPI number:** 1457595472
- **Authorized official:** MS. DONNA N/A MATUSIAK SLP (CO - DIRECTOR)
- **Authorized official phone:** (516) 627-3036

## Contact information

- **Practice address:** 585 STEWART AVE, SUITE 310, GARDEN CITY, NY 11530-4783
- **Practice address phone:** (516) 627-3036
- **Practice address fax:** (516) 627-6741
- **Mailing address:** 585 STEWART AVE, SUITE 310, GARDEN CITY, NY 11530-4783
- **Mailing address phone:** (516) 627-3036
- **Mailing address fax:** (516) 627-6741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 6885 | NY | Yes |

## Other

- **Enumeration date:** 04/21/2009
- **Last updated:** 01/08/2016