# PROACTIVE SPEECH AND LANGUAGE P.C.

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

## Provider details

- **NPI number:** 1558649293
- **Authorized official:** PATRICE L SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (631) 828-8258

## Contact information

- **Practice address:** 18 GARDENIA RD, MOUNT SINAI, NY 11766-2725
- **Practice address phone:** (631) 828-8258
- **Practice address fax:** (631) 474-7821
- **Mailing address:** 18 GARDENIA RD, MOUNT SINAI, NY 11766-2725
- **Mailing address phone:** (631) 828-8258
- **Mailing address fax:** (631) 474-7821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 0115821 | NY | Yes |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 07/29/2011