# SUPERIOR CLINICAL CARE PLLC

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

## Provider details

- **NPI number:** 1952773038
- **Authorized official:** MIRIAM M PRATT MSCCC-SLP (PRINCIPAL)
- **Authorized official phone:** 17184423646

## Contact information

- **Practice address:** 178 MORRISON AVE, STATEN ISLAND, NY 10310
- **Practice address phone:** (718) 442-3646
- **Practice address fax:** (718) 442-3646
- **Mailing address:** 178 MORRISON AVE, STATEN ISLAND, NY 10310
- **Mailing address phone:** (718) 442-3646
- **Mailing address fax:** (716) 442-3646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NY | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 10/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SUPERIOR6126 | — | NY |
