Organization
ESSENTIAL OT, PT, SLP & PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDOMENEE MEDY (CLINICAL PROGRAMS DIRECTOR)
(917) 499-8496
Entity
Organization
Contact information
Practice address
2703 MILBURN AVE, BALDWIN, NY 11510-4115
(917) 499-8496
(804) 336-6220
Mailing address
2703 MILBURN AVE, BALDWIN, NY 11510-4115
(917) 499-8496
(804) 336-6220
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
12/15/2025
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