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Organization
PREMIUM THERAPY SPEECH SERVICES P.C.
Active
Organization
PREMIUM THERAPY SPEECH SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EKATERINI MELITSOPOULOU MA CCC-SLP, TSSH (SPEECH-LANGUAGE PATHOLOGIST/DIRECTO)
(212) 304-0400
Entity
Organization
Contact information
Practice address
5030 BROADWAY, SUITE 809, NEW YORK, NY 10034-1666
(212) 304-0400
(212) 304-0999
Mailing address
5030 BROADWAY, SUITE 809, NEW YORK, NY 10034-1666
(212) 304-0400
(212) 304-0999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010394
NY
235Z00000X
Speech-Language Pathologist
021088
NY
235Z00000X
Speech-Language Pathologist
021674
NY
235Z00000X
Speech-Language Pathologist
024761
NY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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