Organization
ACHIEVE PT OT SLP PLLC
Active
Organization
ACHIEVE PT OT SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHOK KOLODNY DPT (OWNER)
(516) 220-0649
Entity
Organization
Contact information
Practice address
776 UNIVERSITY ST, VALLEY STREAM, NY 11581-3518
(516) 220-0649
(516) 569-1901
Mailing address
776 UNIVERSITY ST, VALLEY STREAM, NY 11581-3518
(516) 220-0649
(516) 569-1901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031038
NY
225X00000X
Occupational Therapist
002989
NY
235Z00000X
Speech-Language Pathologist
022340
NY
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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