Organization
INTERACTIVE SPEECH SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA REICH MS CCC SLP (SPEECH LANGUAGE PATHOLOGIST)
(646) 229-1288
Entity
Organization
Contact information
Practice address
865 GLENRIDGE AVE, VALLEY STREAM, NY 11581-3009
(646) 229-1288
Mailing address
865 GLENRIDGE AVE, VALLEY STREAM, NY 11581-3009
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
020310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27823
—
NY
Enumeration date
02/01/2017
Last updated
02/01/2017
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