# LONG ISLAND SPEECH AND FEEDING THERAPY PC

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

## Provider details

- **NPI number:** 1578362174
- **Authorized official:** KRYSTLE ANTOINETTE SERRANO M.S., CCC-SLP, TSSLD (OWNER)
- **Authorized official phone:** (516) 696-4407

## Contact information

- **Practice address:** 23 CONSTELLATION RD, LEVITTOWN, NY 11756-4308
- **Practice address phone:** (516) 696-4407
- **Mailing address:** 23 CONSTELLATION RD, LEVITTOWN, NY 11756-4308
- **Mailing address phone:** (347) 656-9577

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 03/07/2025