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Organization

CHILDREN'S SPEECH IMPROVEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATYANA SHUSTERMAN BS/TSLD (TEACHER OF SPEECH AND LANGUAGE DELA)
(347) 659-9914
Entity
Organization

Contact information

Practice address
14325 84TH DR APT 4K, BRIARWOOD, NY 11435-2250
(347) 569-9914
Mailing address
14325 84TH DR APT 4K, BRIARWOOD, NY 11435-2250
(347) 569-9914

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
696432
NY

Other

Enumeration date
12/01/2011
Last updated
12/01/2011
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