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Organization
ELITE LEARNING STUDIO LLC
Active
Organization
ELITE LEARNING STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY ORTIZ MS (PRESIDENT)
(718) 612-4802
Entity
Organization
Contact information
Practice address
144 MARISA CIR, STATEN ISLAND, NY 10309-2054
(718) 612-4802
(718) 612-4802
Mailing address
3930 RICHMOND AVE, STATEN ISLAND, NY 10312-5104
(718) 612-4802
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104284645
SPEECH
NY
Enumeration date
06/23/2026
Last updated
06/23/2026
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