# SHTARR SLP PC

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

## Provider details

- **NPI number:** 1588924476
- **Authorized official:** MS. LUBA SHTARR-LUSHER MS CCC-SLP (PRESIDENT)
- **Authorized official phone:** (646) 573-5901

## Contact information

- **Practice address:** 136 ASHWORTH AVE, STATEN ISLAND, NY 10314-4904
- **Practice address phone:** (646) 573-5901
- **Mailing address:** 136 ASHWORTH AVE, STATEN ISLAND, NY 10314-4904
- **Mailing address phone:** (646) 573-5901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 015082 | NY | Yes |

## Other

- **Enumeration date:** 05/24/2012
- **Last updated:** 05/24/2012