# PREMIER PROVIDERS INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508134305
- **Authorized official:** MISS TASHANA F MOHABIR MS.CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (917) 669-1991

## Contact information

- **Practice address:** 103 82ND RD, KEW GARDENS, NY 11415-1422
- **Practice address phone:** (917) 669-1991
- **Practice address fax:** (718) 360-8957
- **Mailing address:** 103 82ND RD, KEW GARDENS, NY 11415
- **Mailing address phone:** (917) 669-1991
- **Mailing address fax:** (718) 360-8957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 0614371 | NY | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011